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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKLYN RAYMOND
NPI 1093415499
Peer Specialist in Grants Pass, OR

Active since March 06, 2023
205 FRUITDALE DR, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 2, 2026, Mar 6, 2023 (2 updates tracked since 2023).

About Jacklyn Raymond NPPES

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

JACKLYN RAYMOND (NPI 1093415499) is an individual peer specialist in Grants Pass, Oregon and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1093415499
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACKLYN RAYMOND
Location Address205 FRUITDALE DRGrants Pass, OR 97527-5267
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorYes
Enumeration DateMarch 6, 2023
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1093415499 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 FRUITDALE DR, Grants Pass, OR 97527
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Other Providers at the Same Location NPPES 13

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

REBYL KAYE MANNING
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
BRENDA JO MILLER
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
CARRIE LYNN RISDON
Counselor (Mental Health)
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
CHEYANN ROSE FITZGERALD-COOPER
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
LISA EDWARDS
Counselor (Mental Health)
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
DEANNA C HAVRANEK CADC, CRM
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 479-8847
ROSE MARIE DEFORD CADC
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
ZACKERIA RL PRIVETT PSS
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373

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 Jacklyn Raymond's NPI number?

The NPI number for Jacklyn Raymond is 1093415499. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Jacklyn Raymond located?

Jacklyn Raymond practices at 205 Fruitdale Dr, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.

What is Jacklyn Raymond'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 Jacklyn Raymond was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.