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Jennifer Kay Blake , MA

Counselor β€’ Eugene, OR

Active NPI 1972620110 Individual Practitioner Female Practitioner
Practice location in NPPES

150 Shelton Mcmurphey Blvd Ste 101
Eugene, OR 974015015

Call 5412108090 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

150 Shelton Mcmurphey Blvd Ste 101

Eugene, OR 974015015

Telephone 5412108090
Fax 5412105310
Organization at the Same NPPES Address or Phone
Madrone Mental Health Services, Llc Facility NPI 1124400908

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

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

527 active clinicians are listed under Counselor with a practice address in Eugene, OR (4,471 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

0.6% of these 527 clinicians have the CMS telehealth indicator.

2.3% of these 527 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: 2020-05-28
Counselor Primary Specialty

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 - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OR C5663
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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500663059 (OR)
Other Identifier Npi
1972620110 (OR)

Secondary Practice Locations

3995 Marcola Rd

Springfield, OR 974777948

Phone: 5417261465

Clinicians Sharing This Practice Address or Phone

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

3 listed
Dr. Joseph Arpaia , MD

Psychiatry & Neurology - Psychiatry

NPI 1831268309

Doctor of Medicine (M.D.)

Byron Elliott

Nurse Practitioner - Psychiatric/Mental Health

NPI 1538819990
Brook Weber , BNS, RN, QMHP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1649630930

BNS, Registered Nurse, Qualified Mental Health Professional, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location May 28, 2020

Registered at 150 SHELTON MCMURPHEY BLVD STE 101, EUGENE, OR 974015015 (Tel: 5412108090)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JENNIFER BLAKE, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟒
Initial NPI Registration & Enumeration March 23, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972620110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2007
Last Update: May 28, 2020
Sole Proprietor: No

Mailing Address

3995 Marcola Rd

Springfield, OR 974777948

Phone: 5417261465

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.