1. Home
  2. Directory
  3. Oregon
  4. Eugene
  5. Counselor
  6. NPI Profile

SAMANTHA RENEE JERNSTROM
NPI 1083232573
Counselor - Mental Health in Eugene, OR

Active since July 10, 2020
132 E BROADWAY STE 431, EUGENE, OR 97401(541) 390-4559 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Apr 4, 2022, Jul 10, 2020 (3 updates tracked since 2020).

About Samantha Renee Jernstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA RENEE JERNSTROM (NPI 1083232573) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since July 2020. She maintains a secondary practice location in Roseburg.

NPPES Registry Identity

NPI1083232573
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA RENEE JERNSTROM
Location Address132 E BROADWAY STE 431Eugene, OR 97401-3158
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 390-4559
Sole ProprietorNo
Enumeration DateJuly 10, 2020
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1083232573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedBehavior TechnicianTaxonomy 106S00000X
132 E BROADWAY STE 431, Eugene, OR 97401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1621 W Madrone StRoseburg, OR 97470-3090 · Phone (541) 672-2691

Other Identifiers 1

Medicaid101YM0800XOR

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA GRACE FOGUS CSWA, CHW
Social Worker (Clinical)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 321-0517
SAMANTHA FAITH HUOT
Marriage & Family Therapist
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559
JUSTIN FRANK
Counselor (Mental Health)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559
JESSI DAVID JONAS QMHA-R
Counselor (Mental Health)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559
ERNEST WADE DYKSTRA
Counselor (Mental Health)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559
MERCEDES OLIVIA FULLER
Counselor (Mental Health)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559
ROBIN IRIS PEET MSW
Counselor (Mental Health)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559
VERONICA L ALEXANDER MSW
Social Worker (Clinical)
132 E BROADWAY STE 431
EUGENE, OR 97401
Lane County (541) 390-4559

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Jernstrom's NPI number?

The NPI number for Samantha Jernstrom is 1083232573. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Samantha Jernstrom located?

Samantha Jernstrom practices at 132 E Broadway Ste 431, Eugene, OR 97401. The listed phone number is (541) 390-4559.

What is Samantha Jernstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Jernstrom was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.