JESSE H BREEDEN
NPI 1124793583
Counselor - Professional in Eugene, OR

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
66 CLUB RD STE 300, EUGENE, OR 97401(541) 393-5983 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2025, Aug 9, 2021 (2 updates tracked since 2021).

About Jesse H Breeden NPPES

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

JESSE H BREEDEN (NPI 1124793583) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C10626) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124793583
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJESSE H BREEDEN
Location Address66 CLUB RD STE 300Eugene, OR 97401-2463
Mailing Address66 Club Rd Ste 300Eugene, OR 97401-2463 · (541) 521-7888
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2021
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1124793583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C10626
66 CLUB RD STE 300, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse H Breeden is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426539065
PECOS Enrollment IDI20260223001300
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jesse Breeden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
66 CLUB RD STE 300
EUGENE, OR 97401
Social Worker (Clinical)
66 CLUB RD STE 300
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 300
EUGENE, OR 97401

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 Jesse Breeden's NPI number?

The NPI number for Jesse Breeden is 1124793583. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Jesse Breeden located?

Jesse Breeden practices at 66 Club Rd Ste 300, Eugene, OR 97401. The listed phone number is (541) 393-5983.

What is Jesse Breeden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jesse Breeden enrolled in Medicare?

Yes. Jesse Breeden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jesse Breeden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Breeden reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Breeden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Breeden accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jesse Breeden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Breeden was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.