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JENNIFER ELLIS PSS
NPI 1093530958
Peer Specialist in Keizer, OR

Active since November 16, 2024
761 CHEMAWA RD N, KEIZER, OR 97303(971) 398-7744 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Ellis Pss NPPES

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

JENNIFER ELLIS PSS (NPI 1093530958) is an individual peer specialist in Keizer, Oregon, licensed in Oregon (112617) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1093530958
Entity TypeIndividual
Primary Taxonomy175T00000X
Provider Legal NameJENNIFER ELLISCredential: PSS
Location Address761 CHEMAWA RD NKeizer, OR 97303-5714
Mailing Address761 Chemawa Rd NKeizer, OR 97303-5714 · (971) 398-7744
Phone(971) 398-7744
Sole ProprietorYes
Enumeration DateNovember 16, 2024
NPPES CertifiedNovember 16, 2024
✔ NPI 1093530958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 112617
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.
761 CHEMAWA RD N, Keizer, OR 97303
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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 Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1093530958. It was assigned to this individual provider in the NPPES registry on November 16, 2024.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 761 Chemawa Rd N, Keizer, OR 97303. The listed phone number is (971) 398-7744.

What is Jennifer Ellis'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 Jennifer Ellis was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.