Individual provider Active NPI

Jennifer Anne Beltz, LPC, LMFT

  • Professional Counselor
  • Eugene, OR
National Provider Identifier
1790317147
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5588 Issued in OR
Practice address
1178 Charnelton St
Eugene, OR 97401-3431
Phone
(541) 321-8631
Fax
(458) 221-4216
NPI assigned
Feb 4, 2020
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C5588 OR Primary
Marriage & Family Therapist 106H00000X T2132 OR

Addresses

Primary practice location

1178 Charnelton St
Eugene, OR 97401-3431

Mailing address

1178 Charnelton St
Eugene, OR 97401-3431
Phone (541) 321-8631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112004179 OR Practitioner - Mental Health Counselor 1658723747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1413 Charnelton St
Eugene, OR 97401-3906
Phone (541) 321-8631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catharsis Counseling LLC Mental Health CurrentSince Nov 27, 2023 Accepting new patients
Beautiful Minds PC PastSince May 11, 2025 Accepting new patients

Locations

1178 Charnelton St
Eugene, OR 97401
Phone (541) 321-8631

1413 Charnelton St
Eugene, OR 97401
Phone (541) 344-8441

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1790317147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013431",
            "telephone_number": "541-321-8631",
            "fax_number": "458-221-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013431",
            "telephone_number": "541-321-8631",
            "fax_number": "458-221-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTZ",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5588",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.