JON CLIFFORD PHELPS (NPI# 1134768633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134768633 |
| Entity Type | Individual |
| Full Name | JON CLIFFORD PHELPS |
| Practice Address |
238 3rd Ave Se Albany OR 97321-2857 |
| Practice Telephone | 5417913411 |
| Mailing Telephone | 5417913411 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
238 3RD AVE SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906402 | Community Helping Addicts Negotiate Change Effectively | Voluntary or Charitable | 238 3rd Ave Se, Albany, OR 97321-2857 | 2016-12-12 |
| 1215576848 | Sandra Lee Angerbauer | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-12-30 |
| 1114566742 | Matthew Scott Ferguson | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-12-30 |
| 1417592361 | Krista A Drexler | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-14 |
| 1063057495 | Andrea Chelsea Dyer | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-08 |
| 1477198802 | Lora Jean Sylvester | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-08 |
| 1346885795 | George Pete Evans | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-08 |
| 1023670650 | Nicholias Alexander Mcguire | Driver | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-07-03 |
| 1447812078 | Kiaya Marae Shoat | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-07-03 |
| 1932761590 | Jennifer Amy Walling | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711953 | Michael Anthony Duran | Peer Specialist | 1515 Hill St Se, Albany, OR 97322-6715 | 2020-02-05 |
| 1487114674 | Desiree Jeanne Rood | Peer Specialist | 1248 Penn St Sw, Albany, OR 97321-2145 | 2019-03-22 |
| 1144739822 | Kendall Mellgren | Peer Specialist | 1305 Hill St Se, Albany, OR 97322-6711 | 2017-09-25 |
| 1912356759 | Veronica Ann Mcclatchey | Peer Specialist | 5050 Columbus St Se Unit 167, Albany, OR 97322-8309 | 2016-06-10 |
| 1225667413 | Andrew J Sheldon | Peer Specialist | 1305 Hill St Se, Albany, OR 97322-6711 | 2020-04-08 |
| 1215576848 | Sandra Lee Angerbauer | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-12-30 |
| 1114566742 | Matthew Scott Ferguson | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-12-30 |
| 1417592361 | Krista A Drexler | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-14 |
| 1063057495 | Andrea Chelsea Dyer | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-08 |
| 1477198802 | Lora Jean Sylvester | Peer Specialist | 238 3rd Ave Se, Albany, OR 97321-2857 | 2019-11-08 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.