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Jaimie Broadhead

Counselor - Professional β€’ Eugene, OR

Active NPI 1912322496 Individual Practitioner Female Practitioner
Practice location in NPPES

261 E 12th Ave # 200
Eugene, OR 974013208

Call 5419004285 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

261 E 12th Ave # 200

Eugene, OR 974013208

Telephone 5419004285
Organization at the Same NPPES Address or Phone
Roseburg Therapy Llc Facility NPI 1538665013

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eugene and Oregon

216 active clinicians are listed under Counselor - Professional with a practice address in Eugene, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

3.7% of these 216 clinicians have the CMS telehealth indicator.

24.1% of these 216 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C10042
Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Meredith Krugel , LCSW

Social Worker - Clinical

NPI 1720271976

Licensed Clinical Social Worker

Warren Roseland , MSN, RN, FNP-C

Nurse Practitioner - Family

NPI 1831183326

Master of Science in Nursing, Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location June 02, 2025

Registered at 261 E 12TH AVE # 200, EUGENE, OR 974013208 (Tel: 5419004285)

πŸ“
Updated Business Mailing Address June 02, 2025

Registered at 261 E 12TH AVE # 200, EUGENE, OR 974013208 (Tel: 5419004285)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Counselor

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Counselor

πŸ“
Updated Practice Location October 25, 2022

Registered at 261 E 12TH AVE, EUGENE, OR 974013208 (Tel: 5413428437)

πŸ“
Updated Business Mailing Address October 25, 2022

Registered at 1258 HIGH ST, EUGENE, OR 974013238 (Tel: 5413428437)

πŸ‘€
Provider Name / Credentials Updated March 29, 2018

Recorded as JAIMIE BROADHEAD

βœ…
NPI Profile Active February 20, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 20, 2014

Registered at 1170 PEARL ST, EUGENE, OR 974013541 (Tel: 5417434340)

πŸ“
Business Mailing Address (Initial Record) February 20, 2014

Registered at 1170 PEARL ST, EUGENE, OR 974013541 (Tel: 5417434340)

πŸ‘€
Provider Name / Credentials (Initial Record) February 20, 2014

Recorded as JAIMIE BEMISDARFER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2014

Counselor

🟒
Initial NPI Registration & Enumeration February 20, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912322496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2014
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

261 E 12th Ave # 200

Eugene, OR 974013208

Phone: 5419004285

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.