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JERRY WAYNE CAMPBELL
NPI 1033881628
Peer Specialist in Pryor, OK

Active since October 01, 2021
205 S ADAIR ST, PRYOR, OK 74361(918) 803-2779 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jerry Wayne Campbell NPPES

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

JERRY WAYNE CAMPBELL (NPI 1033881628) is an individual peer specialist in Pryor, Oklahoma and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1033881628
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY WAYNE CAMPBELL
Location Address205 S ADAIR STPryor, OK 74361-5201
Mailing Address901 S Elliott StPryor, OK 74361-7003 · (918) 944-9970
Phone(918) 803-2779
Sole ProprietorNo
Enumeration DateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
✔ NPI 1033881628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
205 S ADAIR ST, Pryor, OK 74361
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Other Providers at the Same Location NPPES 5

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

TRACIE STONE
Counselor (Addiction (Substance Use Disorder))
205 S ADAIR ST
PRYOR, OK 74361
Mayes County (918) 825-4872
PUSHMATAHA COUNSELING SERVICES, INC.
Community/Behavioral Health
205 S ADAIR ST
PRYOR, OK 74361
Mayes County (918) 825-4872
BRETT ADAM BAYLESS
Peer Specialist
205 S ADAIR ST
PRYOR, OK 74361
Mayes County (918) 825-4872
PUSHMATAHA COUNSELING SERVICES, INC.
Community/Behavioral Health
205 S ADAIR ST
PRYOR, OK 74361
Mayes County (918) 825-4872
MR. JAMES KEITH SCHARDEIN II CADC
Counselor (Addiction (Substance Use Disorder))
205 S ADAIR ST
PRYOR, OK 74361
Mayes County (918) 825-4872

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 Jerry Campbell's NPI number?

The NPI number for Jerry Campbell is 1033881628. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Jerry Campbell located?

Jerry Campbell practices at 205 S Adair St, Pryor, OK 74361. The listed phone number is (918) 803-2779.

What is Jerry Campbell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Campbell was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.