JACQUELINE VAN DER ZWAN
NPI 1710354279
Counselor - Professional in Eugene, OR

Active since August 31, 2015PECOS EnrolledAccepts Medicare Assignment
66 CLUB RD STE 350, EUGENE, OR 97401(541) 343-1728 Get Directions Write a Review

NPPES record last updated: September 17, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2022, Oct 4, 2018 (2 updates tracked since 2018).

About Jacqueline Van Der Zwan NPPES

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

JACQUELINE VAN DER ZWAN (NPI 1710354279) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C4885) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1710354279
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE VAN DER ZWAN
Location Address66 CLUB RD STE 350Eugene, OR 97401-2599
Mailing Address66 Club Rd Ste 350Eugene, OR 97401-2599 · (541) 343-1728
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 31, 2015
Last NPPES UpdateSeptember 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1710354279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C4885
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
66 CLUB RD STE 350, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Van Der Zwan 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 ID7214388875
PECOS Enrollment IDI20240108004471
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.

Other Providers at the Same Location NPPES 19

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

Counselor (Professional)
66 CLUB RD STE 350
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 350
EUGENE, OR 97401
Counselor (Mental Health)
66 CLUB RD STE 350
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 350
EUGENE, OR 97401
Social Worker (Clinical)
66 CLUB RD STE 350
EUGENE, OR 97401
Counselor
66 CLUB RD STE 350
EUGENE, OR 97401
Counselor (Mental Health)
66 CLUB RD STE 350
EUGENE, OR 97401
Counselor (Professional)
66 CLUB RD STE 350
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 Jacqueline Van Der Zwan's NPI number?

The NPI number for Jacqueline Van Der Zwan is 1710354279. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Jacqueline Van Der Zwan located?

Jacqueline Van Der Zwan practices at 66 Club Rd Ste 350, Eugene, OR 97401. The listed phone number is (541) 343-1728.

What is Jacqueline Van Der Zwan's specialty?

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

Is Jacqueline Van Der Zwan enrolled in Medicare?

Yes. Jacqueline Van Der Zwan 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.

What insurance does Jacqueline Van Der Zwan accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jacqueline Van Der Zwan 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 Jacqueline Van Der Zwan was last updated on September 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.