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NICOLE TIEFENBACK
NPI 1114740180
Peer Specialist in Grants Pass, OR

Active since November 06, 2024
356 NE BEACON DR, GRANTS PASS, OR 97526(541) 529-5156 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Tiefenback NPPES

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

NICOLE TIEFENBACK (NPI 1114740180) is an individual peer specialist in Grants Pass, Oregon and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1114740180
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE TIEFENBACK
Location Address356 NE BEACON DRGrants Pass, OR 97526-3815
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 529-5156
Sole ProprietorNo
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1114740180 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.
356 NE BEACON DR, Grants Pass, OR 97526
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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.

DAWN ELIZABETH MOORE-DRYDEN CRM, THW, CADC
Peer Specialist
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 474-1033
BRAD YEARWOOD
Counselor (Addiction (Substance Use Disorder))
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 672-2691
TAYLA ROSE GRIFFIN
Peer Specialist
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 474-1033
TINA MARSHALL
Counselor (Addiction (Substance Use Disorder))
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 474-1033
DAWN M MCCLELLAND
Counselor (Addiction (Substance Use Disorder))
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 474-1033
SHERYL ELDREDGE
Peer Specialist
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 474-1033
BENJAMIN TAYSON
Peer Specialist
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 672-2691
CHRISTOPHER TYLER CADC 1
Counselor (Addiction (Substance Use Disorder))
356 NE BEACON DR
GRANTS PASS, OR 97526
Josephine County (541) 474-1033

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 Nicole Tiefenback's NPI number?

The NPI number for Nicole Tiefenback is 1114740180. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Nicole Tiefenback located?

Nicole Tiefenback practices at 356 NE Beacon Dr, Grants Pass, OR 97526. The listed phone number is (541) 529-5156.

What is Nicole Tiefenback'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 Nicole Tiefenback was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.