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KELLY RAY CROWDER JR.
NPI 1538849476
Peer Specialist in Coos Bay, OR

Active since July 24, 2023
155 S EMPIRE BLVD, COOS BAY, OR 97420(541) 756-3111 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ray Crowder Jr. NPPES

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

KELLY RAY CROWDER JR. (NPI 1538849476) is an individual peer specialist in Coos Bay, Oregon and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1538849476
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKELLY RAY CROWDER JR.
Location Address155 S EMPIRE BLVDCoos Bay, OR 97420-3374
Mailing Address1942 Sheridan AveNorth Bend, OR 97459-3416 · (541) 297-8748
Phone(541) 756-3111
Sole ProprietorNo
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1538849476 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.
155 S EMPIRE BLVD, Coos Bay, OR 97420
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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.

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 Kelly Crowder's NPI number?

The NPI number for Kelly Crowder is 1538849476. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Kelly Crowder located?

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

What is Kelly Crowder'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 Kelly Crowder was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.