KELLY MARIE HERZOG
NPI 1073226890
Peer Specialist in Coos Bay, OR

Active since December 27, 2022
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 756-3111 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Marie Herzog NPPES

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

KELLY MARIE HERZOG (NPI 1073226890) is an individual peer specialist in Coos Bay, Oregon and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1073226890
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY MARIE HERZOG
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address155 S Empire BlvdCoos Bay, OR 97420-3374
Sole ProprietorNo
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1073226890 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.

155 S EMPIRE BLVD, Coos Bay, OR 97420

Other Identifiers 1

OtherTHW000107665OR · Oha

Other Providers at the Same Location NPPES 20

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

Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Counselor (Addiction (Substance Use Disorder))
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420

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 Kelly Herzog's NPI number?

The NPI number for Kelly Herzog is 1073226890. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Kelly Herzog located?

Kelly Herzog practices at 155 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 756-3111.

What is Kelly Herzog'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 Kelly Herzog was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.