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Deactivated NPI 1164994638 Deactivated / Inactive NPI Male Practitioner

Jeffrey N Henderson , PSS

Peer Specialist • Eugene, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeffrey Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 21, 2018
NPI Deactivation Date July 03, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Jeffrey Henderson, PSS was a registered Peer Specialist practicing in Eugene, OR. Throughout an active medical career spanning 7 years, Jeffrey Henderson provided care at the practice location at 1420 GREEN ACRES RD until profile deactivation on 2025-07-03.

Practice Location & Contact Primary Location

Practice Address

1420 Green Acres Rd

Eugene, OR 974081791

Telephone 5417624500
Fax 5416844156
Associated Practice Facility / Clinic
🏢 Willamette Family, Inc Facility NPI 1376546291

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
256 Specialists

Practicing in Eugene, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rose Macchi , PSS

Peer Specialist

NPI 1013570183
Mystic Burson

Counselor - Addiction (Substance Use Disorder)

NPI 1033066428
NPI 1033683560

Doctor of Philosophy (Ph.D.)

Kathleen Stark , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1063870848

CADCII

Jesse Strachan

Counselor - Mental Health

NPI 1063997930
Siera Raines

Counselor - Mental Health

NPI 1073097465

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated July 03, 2025

Record deactivated on July 03, 2025

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Updated Practice Location February 15, 2019

Registered at 149 W 12TH AVE, EUGENE, OR 974013408 (Tel: 5417624400)

NPI Profile Active December 21, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 21, 2018

Registered at 1420 GREEN ACRES RD, EUGENE, OR 974081791 (Tel: 5417624500)

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Updated Business Mailing Address December 21, 2018

Registered at 687 CHESHIRE AVE, EUGENE, OR 974025060 (Tel: 5416844100)

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Provider Name / Credentials Updated December 21, 2018

Recorded as JEFFREY HENDERSON, P.S.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2018

Peer Specialist

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Initial NPI Registration & Enumeration December 21, 2018

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: 1164994638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2018
Last Update: December 21, 2018
Deactivation Date: July 03, 2025

Mailing Address

687 Cheshire Ave

Eugene, OR 974025060

Phone: 5416844100

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.