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ANDREA GROSS
NPI 1154944346
Peer Specialist in Coos Bay, OR

Active since May 21, 2020
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 756-3111(541) 756-2111 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Gross NPPES

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

ANDREA GROSS (NPI 1154944346) is an individual peer specialist in Coos Bay, Oregon, licensed in Oregon (20-CRM-118) and active in the NPI registry since May 2020. She maintains a secondary practice location in Coos Bay.

NPPES Registry Identity

NPI1154944346
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameANDREA GROSS
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address1942 Sheridan AveNorth Bend, OR 97459-3416 · (541) 756-3111 · Fax (541) 756-2111
Phone(541) 756-3111
Fax(541) 756-2111
Sole ProprietorNo
Enumeration DateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1154944346 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 · 20-CRM-118
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.
155 S EMPIRE BLVD, Coos Bay, OR 97420
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Secondary Practice Location 1

Location 11741 Newmark AveCoos Bay, OR 97420-4704 · Phone (541) 756-3111 · Fax (541) 756-2111

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.

SARAH SUSAN TUCKER CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
JASON ALLEN PAUL PSS, CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
WILLIAM TODD STONE CRM
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
KASSIE LIBBETT
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 796-8437
KELLY MARIE HERZOG
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
TASHA ANNE WALTER CADC 1, CRM, PSS
Counselor (Addiction (Substance Use Disorder))
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111
REBECCA JEAN ALLDRIDGE
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 500-6223
RONNI WALTZ PSS
Peer Specialist
155 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 756-3111

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 Andrea Gross's NPI number?

The NPI number for Andrea Gross is 1154944346. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Andrea Gross located?

Andrea Gross practices at 155 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 756-3111.

What is Andrea Gross'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 Andrea Gross was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.