SANDRA JERRELL FSP
NPI 1366977365
Peer Specialist in Poteau, OK

Active since April 27, 2017
401 N CHURCH ST, SUITE K, POTEAU, OK 74953(918) 649-0230(918) 649-1492 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Jerrell Fsp NPPES

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

SANDRA JERRELL FSP (NPI 1366977365) is an individual peer specialist in Poteau, Oklahoma and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1366977365
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSANDRA JERRELLCredential: FSP
Location Address401 N CHURCH ST, SUITE KPoteau, OK 74953-3502
Mailing Address107 S High StAntlers, OK 74523-3818 · (580) 298-2830 · Fax (580) 298-6723
Fax(918) 649-1492
Sole ProprietorNo
Enumeration DateApril 27, 2017
NPI 1366977365 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 N CHURCH ST, Poteau, OK 74953

Other Identifiers 1

Medicaid100744370OK

Other Providers at the Same Location NPPES 19

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

Case Manager/Care Coordinator
401 N CHURCH ST
POTEAU, OK 74953
Case Manager/Care Coordinator
401 N CHURCH ST
POTEAU, OK 74953
Counselor
401 N CHURCH ST
POTEAU, OK 74953
Counselor (Mental Health)
401 N CHURCH ST, SUITE K
POTEAU, OK 74953
Clinic/Center (Mental Health (Including Community Mental Health Center))
401 N CHURCH ST
POTEAU, OK 74953
Counselor
401 N CHURCH ST
POTEAU, OK 74953
Case Manager/Care Coordinator
401 N CHURCH ST, SUITE K
POTEAU, OK 74953
Psychologist (Rehabilitation)
401 N CHURCH ST
POTEAU, OK 74953

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 Sandra Jerrell's NPI number?

The NPI number for Sandra Jerrell is 1366977365. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Sandra Jerrell located?

Sandra Jerrell practices at 401 N Church St Suite K, Poteau, OK 74953. The listed phone number is (918) 649-0230.

What is Sandra Jerrell'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 Sandra Jerrell was last updated on April 27, 2017. 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.