Active NPIIndividual providerSole proprietor

Jackie L Boggs, MS

Counselor, Mental Health in Eugene, Oregon

NPI Number1790001691
Practice location
2791 Oak Aly Ste 1A, Eugene, OR 97405-3692
Fax
—
Last updated
February 28, 2025

Jackie Lynn Boggs is a Counselor, Mental Health based in Eugene, OR. Jackie Lynn Boggs practices in Eugene, OR and has the professional credentials of MS. The NPI Number for Jackie Lynn Boggs is 1790001691 and holds a License No. T0934 (OR). The current practice location address for Jackie Lynn Boggs is 2791 Oak Aly Ste 1A, Eugene, OR 97405-3692 and can be reached out via phone at 541-692-8280.

Provider Profile Details

NPI Number
1790001691
Provider Name
Jackie Lynn Boggs
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
2791 Oak Aly Ste 1A, Eugene, OR 97405-3692
Phone Number
541-692-8280
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
Jackie Lynn Lowzik, MS (Former Name)
Provider Enumeration Date
April 16, 2010
Last Update Date
February 28, 2025
Certification Date
February 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2791 Oak Aly Ste 1A
Eugene, OR 97405-3692
City
Eugene
State
Oregon
Zip
97405-3692
Phone Number
541-692-8280
Eugene, OR 97405Get directions →

Provider Business Mailing Address Details

Address
2791 Oak Aly Ste 1A
Eugene, OR 97405-3692
City
Eugene
State
OR
Zip
97405-3692
Phone Number
541-692-8280

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
T0934
License State (2)
OR
Taxonomy (2)
Marriage & Family Therapist · 106H00000X
License Number (3)
T0934
License State (3)
OR
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jackie L Boggs, MS?

The NPI number of Jackie L Boggs, MS is 1790001691. It was assigned on April 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Jackie L Boggs, MS?

Jackie L Boggs, MS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number T0934.

Where does Jackie L Boggs, MS practice?

The practice location is 2791 Oak Aly Ste 1A, Eugene, OR 97405-3692. The office can be reached at 541-692-8280 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790001691 directly on the NPPES registry website.

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