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MARISSA RAE JACOBSON
NPI 1184432148
Peer Specialist in Fossil, OR

Active since December 23, 2024
401 FOURTH ST, FOSSIL, OR 97830(541) 763-2746(541) 763-2170 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Rae Jacobson NPPES

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

MARISSA RAE JACOBSON (NPI 1184432148) is an individual peer specialist in Fossil, Oregon and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1184432148
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARISSA RAE JACOBSON
Location Address401 FOURTH STFossil, OR 97830-8302
Mailing AddressPo Box 469Heppner, OR 97836-0469 · (541) 676-9161 · Fax (541) 676-5662
Phone(541) 763-2746
Fax(541) 763-2170
Sole ProprietorNo
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1184432148 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.
401 FOURTH ST, Fossil, OR 97830
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTY RAY BOEHLKE THW
Peer Specialist
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-2746
TEELA MARIE KILBY QMHA - PEER
Peer Specialist
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-2746
MARIA TERESA HAZEL PSS
Peer Specialist
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-2746
TARA MCINTOSH
Counselor (Mental Health)
401 FOURTH ST
FOSSIL, OR 97830
Wheeler County (541) 763-4276

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 Marissa Jacobson's NPI number?

The NPI number for Marissa Jacobson is 1184432148. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Marissa Jacobson located?

Marissa Jacobson practices at 401 Fourth St, Fossil, OR 97830. The listed phone number is (541) 763-2746.

What is Marissa Jacobson'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 Marissa Jacobson was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.