TARA JEAN JEFFERS
NPI 1114513058
Peer Specialist in Charleston, WV

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since December 15, 2020

102 PATRICK STREET PLZ, CHARLESTON, WV 25387(304) 233-3200 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tara Jean Jeffers NPPES

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

TARA JEAN JEFFERS (NPI 1114513058) is an individual peer specialist in Charleston, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1114513058

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameTARA JEAN JEFFERS

Location Address102 PATRICK STREET PLZCharleston, WV 25387-2444

Mailing Address102 Patrick Street PlzCharleston, WV 25387-2444

Phone(304) 233-3200

Sole ProprietorNo

Enumeration DateDecember 15, 2020

NPPES CertifiedDecember 15, 2020

✔ NPI 1114513058 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.

102 PATRICK STREET PLZ, Charleston, WV 25387

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