Jaclyn Lewinski, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C8677 Issued in OR

Practice address

355 E 5TH Ave Apt 129
Eugene, OR 97401-0015

Phone

(629) 777-6007

Fax

(615) 679-3900

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MI, OR3 enrollments

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 3

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Anchor Up Wellness

  • Mental Health Counselor
  • White Lake, MI
  • NPI 1013749050
  Medicare reassignment NPD Authorized official
• Alive Counseling Clinic, LLC

  • Professional Counselor
  • Eugene, OR
  • NPI 1801651617
  NPD (past)
• Alive Holistic Counseling

  • Counselor
  • Eugene, OR
  • NPI 1205388253
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1801924618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 5TH AVE APT 129",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974010015",
            "telephone_number": "629-777-6007",
            "fax_number": "615-679-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 5TH AVE APT 129",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974010015",
            "telephone_number": "629-777-6007",
            "fax_number": "615-679-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7417 Big Bnd",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483834018",
            "country_code": "US",
            "telephone_number": "629-777-6007",
            "fax_number": "615-679-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 Willamette St Ste F",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974052890",
            "country_code": "US",
            "telephone_number": "541-357-3248",
            "fax_number": "541-357-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWINSKI",
        "first_name": "JACLYN",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009499",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2478",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009499",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8677",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C8677",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald James Levine, DMD
• Paula Levinrad, MSW
• Dillon Bijan Levy, EMT-B
• Jaclyn Levy, CADC
• Nicolette Lew, PHARM D
• Cynthia F. Lewis-Berry, L.M.F.T.
• Nyah Lewis-Gibson
• Alexa Ann Lewis
• Cara Charissa Lewis, M.S.
• Devin Lee Lewis

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.