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JENNY RENEE WILDER DE LA ROSA CRM PSS
NPI 1093468068
Peer Specialist in Klamath Falls, OR

Active since January 31, 2022
3206 ONYX AVE, KLAMATH FALLS, OR 97603(541) 591-1877 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenny Renee Wilder De La Rosa Crm Pss NPPES

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

JENNY RENEE WILDER DE LA ROSA CRM PSS (NPI 1093468068) is an individual peer specialist in Klamath Falls, Oregon and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1093468068
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJENNY RENEE WILDER DE LA ROSACredential: CRM PSS
Location Address3206 ONYX AVEKlamath Falls, OR 97603-7279
Mailing Address3206 Onyx AveKlamath Falls, OR 97603-7279 · (541) 591-1877
Phone(541) 591-1877
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
✔ NPI 1093468068 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.
3206 ONYX AVE, Klamath Falls, OR 97603
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Other Providers at the Same Location NPPES 14

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

RED IS THE ROAD TO WELLNESS (RRW)
Counselor (Addiction (Substance Use Disorder))
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (541) 797-0088
TAMMY MAE ANDERSON PSS
Peer Specialist
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (541) 891-0194
JASMINE SIGALA
Peer Specialist
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (541) 891-0194
KATHLEEN ANN JACKSON
Peer Specialist
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (541) 363-1277
RYAN LOBDELL CRM
Peer Specialist
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (154) 136-3127
MR. LIBAN OMAR CASAC
Counselor (Pastoral)
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (971) 319-3498
TAYAS YAWKS
Peer Specialist
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (541) 891-0194
CHYLAHNA ROSE SAY THW, PSS
Peer Specialist
3206 ONYX AVE
KLAMATH FALLS, OR 97603
Klamath County (541) 591-3890

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 Jenny Wilder De La Rosa's NPI number?

The NPI number for Jenny Wilder De La Rosa is 1093468068. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Jenny Wilder De La Rosa located?

Jenny Wilder De La Rosa practices at 3206 Onyx Ave, Klamath Falls, OR 97603. The listed phone number is (541) 591-1877.

What is Jenny Wilder De La Rosa'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 Jenny Wilder De La Rosa was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.