Active NPI
Jayson Lee Peterson, M.ED., LMFT
- Marriage & Family Therapist
- Eugene, OR
National Provider Identifier
1780969675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1229
- Practice address
- 492 E 13TH Ave Ste 105
Eugene, OR 97401 - Phone
- (541) 579-9288
- NPI assigned
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1229 | OR | Primary |
Addresses
Primary practice location
492 E 13TH Ave Ste 105
Eugene, OR 97401
Mailing address
492 E 13TH Ave Ste 105
Eugene, OR 97401-4250
Phone (541) 579-9288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1229 | OR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayson Peterson, Med, LMFT, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Eugene, OR
- NPI 1346889227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1780969675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 E 13TH AVE STE 105",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014250",
"telephone_number": "541-579-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 E 13TH AVE STE 105",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-579-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JAYSON",
"middle_name": "LEE",
"credential": "M.ED., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.