MR. JEREMY DAMON OBERENDER (NPI# 1285288167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285288167 |
Entity Type | Individual |
Full Name | MR. JEREMY DAMON OBERENDER |
Credential | CPC, NCPRSS |
Practice Address |
910 W Boone Ave Ste 201 Spokane WA 99201-2525 |
Mailing Address |
1312 1/2 N. Division St Spokane WA 99202 |
Practice Telephone | 5093257232 |
Practice Fax Number | 5093254580 |
Mailing Telephone | 5093157312 |
Mailing Fax Number | 5093254580 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | P00332 | WA | Other Service Providers |
Street Address |
910 W BOONE AVE STE 201 |
City | SPOKANE |
State | WA |
Zip Code | 99201-2525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790153682 | Pioneer Human Services | Community/Behavioral Health | 910 W Boone Ave Ste 201, Spokane, WA 99201-5029 | 2015-09-09 |
1093356628 | Loren Scott Broyles | Peer Specialist | 910 W Boone Ave Ste 201, Spokane, WA 99201-2525 | 2019-10-04 |
1437612900 | Sarah Jean Geschke | Counselor | 910 W Boone Ave Ste 201, Spokane, WA 99201-2525 | 2019-04-10 |
1124588744 | Monica Lela Green | Counselor | 910 W Boone Ave Ste 201, Spokane, WA 99201-2525 | 2019-03-20 |
1881102028 | Tracy May Womach Hughes | Counselor | 910 W Boone Ave Ste 201, Spokane, WA 99201-5029 | 2018-01-22 |
1790293959 | Jennifer Ann Hawkins | Counselor | 910 W Boone Ave Ste 201, Spokane, WA 99201-5029 | 2018-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
Find all providers in zip 99201 |
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 |
---|---|---|---|---|
1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
1083199673 | Kimberly Sue Williams | Peer Specialist | 4913 W Lamar Ave, Spokane, WA 99208-9131 | 2018-09-28 |
1619477031 | Mark Todd Stucker | Peer Specialist | 12 E 5th Ave # 2253, Spokane, WA 99202-1309 | 2018-02-13 |
1306459813 | Eva R Perez | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2020-08-25 |
1255943627 | Dylan Ramirez | Peer Specialist | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-08-18 |
1922626159 | Chelsa Lene Mcdaniel | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-07-14 |
1295353415 | David M Domreis | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-07-14 |
1386260313 | Dom Demetrio Felxi | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-06-25 |
1457973166 | Natalie J Willis | Peer Specialist | 2222 N Monroe St, Spokane, WA 99205-4545 | 2020-05-15 |
Find all providers in SPOKANE |
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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.