JACQUELINE MARTIN (NPI# 1508313610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508313610 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARTIN |
| Practice Address |
499 W 4th Ave Eugene OR 97401-2505 |
| Mailing Address |
5411 E St Springfield OR 97478-6164 |
| Practice Telephone | 5416861262 |
| Mailing Telephone | 4406655274 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114208089 | Jacqueline E Martin | Dietitian, Registered | 13 Avenue Louise, Massapequa Park, NY 11762-3207 | 2011-09-06 |
| 1912202045 | Jacqueline Marie Martin | Counselor | 194 Harvard St, Apt. 5, Rochester, NY 14607-3170 | 2011-01-21 |
| 1457587636 | Jacqueline Suzanne Martin | Massage Therapist | 10917 Cartagena Ave Sw, Albuquerque, NM 87121-8274 | 2009-06-02 |
| 1760620777 | Jacqueline Michelle Martin | Massage Therapist | 322 Moreno St, Las Vegas, NM 87701-3702 | 2009-01-29 |
| 1073667226 | Jacqueline Wilson Martin | Lodging | 538 Warriner St, Reidsville, NC 27320-3053 | 2007-01-23 |
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1316569932 | Jacqueline Martin | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-05-18 |
| 1194282723 | Jacqueline Rose Martin | Counselor | 2755 E Desert Inn Rd Ste 250, Las Vegas, NV 89121-3610 | 2019-03-01 |
| 1841761343 | Jacqueline Sue Martin | Developmental Therapist | 1001 Sycamore Ln, Danville, IN 46122-1474 | 2018-12-09 |
| 1427544063 | Jacqueline Lillian Martin | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2018-07-06 |
| Street Address |
499 W 4TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831277888 | Curtis Glaspie White | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2006-11-01 |
| 1770126971 | Amelia Anne Lancaster | Case Manager/Care Coordinator | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-10-21 |
| 1487201851 | Amanda M Black | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-08-21 |
| 1912567827 | Rina Nicole Herring | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-06-13 |
| 1053873828 | Jeannine Revoe Vasilie | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-04-02 |
| 1932664380 | Emma Marie Swanson | Peer Specialist | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-02-08 |
| 1215401898 | Jonathan Landis | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-01-16 |
| 1982179032 | Jacqueline Nicolette Schonchin | Peer Specialist | 499 W 4th Ave, Eugene, OR 97401-2505 | 2018-10-04 |
| 1447731799 | Lauren Green | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2018-08-24 |
| 1043705874 | Alicia Allyson Beephan | Counselor | 499 W 4th Ave, Eugene, OR 97401 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1417554247 | Counseling Practitioners LLC | Counselor | 1342 High St, Eugene, OR 97401-3237 | 2020-10-05 |
| 1881203404 | Caitlin Joyce, Lcsw LLC | Counselor | 1860 Willamette St Ste 200, Eugene, OR 97401-4044 | 2020-07-29 |
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1326600453 | Don Sellers Lcsw LLC | Counselor | 1390 Oak St Ste 1, Eugene, OR 97401-3567 | 2019-06-28 |
| 1235796855 | L. Kay Mcdonald | Counselor | 1776 Millrace Dr Ste 200, Eugene, OR 97403-2536 | 2019-05-20 |
| 1093371130 | Rites of The Heart, LLC | Counselor | 1840 Willamette St, Eugene, OR 97401-4601 | 2019-05-14 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.