NICOLE MICHELLE EDBLOM
NPI 1417730391
Counselor - Addiction (Substance Use Disorder) in Eugene, OR

Active since August 15, 2023
1966 GARDEN AVE, EUGENE, OR 97403(541) 505-9190 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Michelle Edblom NPPES

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

NICOLE MICHELLE EDBLOM (NPI 1417730391) is an individual addiction (substance use disorder) provider in Eugene, Oregon and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1417730391
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE MICHELLE EDBLOM
Location Address1966 GARDEN AVEEugene, OR 97403-1933
Mailing Address1966 Garden AveEugene, OR 97403-1933
Sole ProprietorNo
Enumeration DateAugust 15, 2023
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1417730391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
1966 GARDEN AVE, Eugene, OR 97403

Other Providers at the Same Location NPPES 20

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

Peer Specialist
1966 GARDEN AVE
EUGENE, OR 97403
Peer Specialist
1966 GARDEN AVE
EUGENE, OR 97403
Counselor (Mental Health)
1966 GARDEN AVE
EUGENE, OR 97403
Peer Specialist
1966 GARDEN AVE
EUGENE, OR 97403
Counselor (Mental Health)
1966 GARDEN AVE
EUGENE, OR 97403
Peer Specialist
1966 GARDEN AVE
EUGENE, OR 97403
Peer Specialist
1966 GARDEN AVE
EUGENE, OR 97403
Counselor (Mental Health)
1966 GARDEN AVE
EUGENE, OR 97403

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 Nicole Edblom's NPI number?

The NPI number for Nicole Edblom is 1417730391. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Nicole Edblom located?

Nicole Edblom practices at 1966 Garden Ave, Eugene, OR 97403. The listed phone number is (541) 505-9190.

What is Nicole Edblom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Edblom was last updated on February 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.