JEANNA MCKIBBEN
NPI 1154872901
Peer Specialist in Salem, OR

Active since October 17, 2016
1599 STATE ST, SALEM, OR 97301(503) 363-3260(503) 585-0491 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanna Mckibben NPPES

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

JEANNA MCKIBBEN (NPI 1154872901) is an individual peer specialist in Salem, Oregon and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1154872901
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJEANNA MCKIBBEN
Location Address1599 STATE STSalem, OR 97301-4255
Mailing Address1599 State StSalem, OR 97301-4255 · (503) 363-3260 · Fax (503) 585-0491
Fax(503) 585-0491
Sole ProprietorYes
Enumeration DateOctober 17, 2016
NPI 1154872901 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.
1599 STATE ST, Salem, OR 97301

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.

Counselor (Addiction (Substance Use Disorder))
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301
Peer Specialist
1599 STATE ST
SALEM, OR 97301

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 Jeanna Mckibben's NPI number?

The NPI number for Jeanna Mckibben is 1154872901. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Jeanna Mckibben located?

Jeanna Mckibben practices at 1599 State St, Salem, OR 97301. The listed phone number is (503) 363-3260.

What is Jeanna Mckibben'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 Jeanna Mckibben was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.