MR. JEREMY DAMON OBERENDER


Address: 910 W Boone Ave Ste 201, Spokane, WA 99201-2525
Phone: 5093257232

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist P00332 WA Other Service Providers

Office Location

Street Address 910 W BOONE AVE STE 201
City SPOKANE
State WA
Zip Code 99201-2525

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SPOKANE
Zip Code 99201

Improve Information

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Dataset Information

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.

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