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NICOLE STUCKART
NPI 1316762529
Peer Specialist in Salem, OR

Active since November 21, 2024
4080 REED RD SE STE 150, SALEM, OR 97302(503) 581-1732(503) 363-4607 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Stuckart NPPES

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

NICOLE STUCKART (NPI 1316762529) is an individual peer specialist in Salem, Oregon, licensed in Oregon (110255) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1316762529
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE STUCKART
Location Address4080 REED RD SE STE 150Salem, OR 97302-1335
Mailing Address4080 Reed Rd Se # Ate150Salem, OR 97302-1357 · (503) 581-1732 · Fax (503) 363-4607
Phone(503) 581-1732
Fax(503) 363-4607
Sole ProprietorNo
Enumeration DateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1316762529 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 · 110255
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.
4080 REED RD SE STE 150, Salem, OR 97302
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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.

HANNA HANSON QMHA
Case Manager/Care Coordinator
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732
KATELYN RUSSELL-ATCHLEY QMHA
Case Manager/Care Coordinator
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732
EVELYN DETRICK QMHP
Counselor (Mental Health)
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-6702
SUSAN DIANNE CRABILL
Counselor (Mental Health)
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732
JOEL MCDERMEIT
Social Worker
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732
KIRI STORM WATSON
Counselor (Mental Health)
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732
AMANDA YOUNT
Case Manager/Care Coordinator
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732
RENEE LYNN NAYLOR MFT ASSOCIATE
Marriage & Family Therapist
4080 REED RD SE STE 150
SALEM, OR 97302
Marion County (503) 581-1732

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 Stuckart's NPI number?

The NPI number for Nicole Stuckart is 1316762529. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Nicole Stuckart located?

Nicole Stuckart practices at 4080 Reed Rd SE Ste 150, Salem, OR 97302. The listed phone number is (503) 581-1732.

What is Nicole Stuckart'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 Stuckart was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.