- Practice location
- 261 E 12TH Ave # 200, Eugene, OR 97401-3208
- Phone
- 541-900-4285
- Fax
- —
- Last updated
- June 2, 2025
Jaimie Broadhead is a Counselor, Professional based in Eugene, OR. Jaimie Broadhead practices in Eugene, OR. The NPI Number for Jaimie Broadhead is 1912322496 and holds a License No. C10042 (OR). The current practice location address for Jaimie Broadhead is 261 E 12TH Ave # 200, Eugene, OR 97401-3208 and can be reached out via phone at 541-900-4285.
Provider Profile Details
- NPI Number
- 1912322496
- Provider Name
- Jaimie Broadhead
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 261 E 12TH Ave # 200, Eugene, OR 97401-3208
- Phone Number
- 541-900-4285
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Other Names
- Jaimie Bemisdarfer (Former Name)
- Provider Enumeration Date
- February 20, 2014
- Last Update Date
- June 2, 2025
- Certification Date
- June 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 261 E 12TH Ave # 200
Eugene, OR 97401-3208 - City
- Eugene
- State
- Oregon
- Zip
- 97401-3208
- Phone Number
- 541-900-4285
Provider Business Mailing Address Details
- Address
- 261 E 12TH Ave # 200
Eugene, OR 97401-3208 - City
- Eugene
- State
- OR
- Zip
- 97401-3208
- Phone Number
- 541-900-4285
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (3)
- C10042
- License State (3)
- OR
- Taxonomy (3)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jaimie Broadhead?
The NPI number of Jaimie Broadhead is 1912322496. It was assigned on February 20, 2014 and is currently active in the NPPES registry.
What is the specialty of Jaimie Broadhead?
Jaimie Broadhead is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in OR under license number C10042.
Where does Jaimie Broadhead practice?
The practice location is 261 E 12TH Ave # 200, Eugene, OR 97401-3208. The office can be reached at 541-900-4285 (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 1912322496 directly on the NPPES registry website.