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Todd B. Jeter , LCSW, CADC III

Social Worker - Clinical β€’ Eugene, OR

Active NPI 1104361534 Individual Practitioner Male Practitioner
Practice location in NPPES

2440 Willamette St Ste 201&202
Eugene, OR 974053170

Call 5412343090 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

2440 Willamette St Ste 201&202

Eugene, OR 974053170

Telephone 5412343090
Fax 5417359480
Organization at the Same NPPES Address or Phone
Fjord Counseling Llc Facility NPI 1013716471

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

NPI first issued

2016

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

Enrolled in Medicare (PECOS)

Todd Jeter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Todd Jeter as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eugene and Oregon

393 active clinicians are listed under Social Worker - Clinical with a practice address in Eugene, OR (5,017 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

8.9% of these 393 clinicians have the CMS telehealth indicator.

22.1% of these 393 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: 2026-06-03
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES OR L10427

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 16-11-18
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

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
500731705 (OR)
Medicaid ID
500725923 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20210121002491

Enrollment State Jurisdiction

OR

PECOS Control ID

1456765056

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

22 Historical Events
πŸ“
Updated Practice Location June 03, 2026

Registered at 2440 WILLAMETTE ST STE 201&202, EUGENE, OR 974053170 (Tel: 5412343090)

πŸ“
Updated Business Mailing Address June 03, 2026

Registered at 2440 WILLAMETTE ST STE 201&202, EUGENE, OR 974053170 (Tel: 5412343090)

πŸ“
Updated Practice Location May 30, 2024

Registered at 1445 WILLAMETTE ST STE 3, EUGENE, OR 974014087 (Tel: 5412343090)

πŸ“
Updated Business Mailing Address May 30, 2024

Registered at PO BOX 40142, EUGENE, OR 974040020 (Tel: 5412343090)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2024

Counselor (license number reported to NPPES: OR 16-11-18)

πŸ“
Updated Practice Location November 08, 2023

Registered at 1355 W 13TH AVE, EUGENE, OR 974023955 (Tel: 5412343090)

πŸ“
Updated Business Mailing Address November 08, 2023

Registered at 1355 W 13TH AVE, EUGENE, OR 974023955 (Tel: 5412343090)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2023

Social Worker (license number reported to NPPES: OR L10427)

πŸ“
Updated Practice Location January 03, 2023

Registered at 1997 GARDEN AVE, EUGENE, OR 974031934 (Tel: 5413445978)

πŸ“
Updated Business Mailing Address January 03, 2023

Registered at 3366 MERRYVALE RD, EUGENE, OR 974043868 (Tel: 5419543485)

πŸ‘€
Provider Name / Credentials Updated January 03, 2023

Recorded as TODD JETER, LCSW, CADC III

πŸ“
Updated Practice Location July 17, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

πŸ“
Updated Business Mailing Address July 17, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

πŸ‘€
Provider Name / Credentials Updated July 17, 2019

Recorded as TODD JETER, CSWA, MAC, CADC III

πŸ‘€
Provider Name / Credentials Updated March 22, 2019

Recorded as TODD JETER, CSWA, QMHP, CADC III

πŸ‘€
Provider Name / Credentials Updated April 10, 2018

Recorded as TODD JETER, MSW, QMHP, CADC II

βœ…
NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 20, 2016

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844170)

πŸ“
Business Mailing Address (Initial Record) December 20, 2016

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844170)

πŸ‘€
Provider Name / Credentials (Initial Record) December 20, 2016

Recorded as TODD JETER, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Counselor (license number reported to NPPES: OR 16-11-18)

🟒
Initial NPI Registration & Enumeration December 20, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104361534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2016
Last Update: June 03, 2026
Sole Proprietor: No

Other Social Worker - Clinicals in Eugene

All Social Worker - Clinicals in Eugene

Mailing Address

2440 Willamette St Ste 201&202

Eugene, OR 974053170

Phone: 5412343090

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.