Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912322496 Individual Practitioner Female Practitioner

Jaimie Broadhead

Counselor - Professional • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Jaimie Broadhead is a registered healthcare professional specializing in Counselor - Professional in Eugene, OR. Practice services are available at 261 E 12TH AVE # 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

261 E 12th Ave # 200

Eugene, OR 974013208

Telephone 5419004285
Associated Practice Facility / Clinic
🏢 Roseburg Therapy Llc Facility NPI 1538665013

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
220 Specialists

Practicing in Eugene, OR (2601 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-02
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C10042

Definition to come...

Counselor

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 - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Destiny Hall , PSS

Peer Specialist

NPI 1003796087
Grace Mavromatis

Social Worker - Clinical

NPI 1013449271
Fatima Morales

Social Worker

NPI 1073495875
Haven Lewis

Counselor

NPI 1093563371
Celeste Huffaker

Social Worker - Clinical

NPI 1104303833
NPI 1104408871

Master of Science, LPCINTERN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 02, 2025

Registered at 261 E 12TH AVE # 200, EUGENE, OR 974013208 (Tel: 5419004285)

📍
Updated Business Mailing Address June 02, 2025

Registered at 261 E 12TH AVE # 200, EUGENE, OR 974013208 (Tel: 5419004285)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Counselor

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Counselor

📍
Updated Practice Location October 25, 2022

Registered at 261 E 12TH AVE, EUGENE, OR 974013208 (Tel: 5413428437)

📍
Updated Business Mailing Address October 25, 2022

Registered at 1258 HIGH ST, EUGENE, OR 974013238 (Tel: 5413428437)

👤
Provider Name / Credentials Updated March 29, 2018

Recorded as JAIMIE BROADHEAD

NPI Profile Active February 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2014

Registered at 1170 PEARL ST, EUGENE, OR 974013541 (Tel: 5417434340)

📍
Updated Business Mailing Address February 20, 2014

Registered at 1170 PEARL ST, EUGENE, OR 974013541 (Tel: 5417434340)

👤
Provider Name / Credentials Updated February 20, 2014

Recorded as JAIMIE BEMISDARFER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2014

Counselor

🟢
Initial NPI Registration & Enumeration February 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912322496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2014
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

261 E 12th Ave # 200

Eugene, OR 974013208

Phone: 5419004285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.