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ZACKERIA RL PRIVETT PSS
NPI 1578359097
Peer Specialist in Grants Pass, OR

Active since April 21, 2025
205 FRUITDALE DR, GRANTS PASS, OR 97527(541) 476-2373 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Zackeria Rl Privett Pss NPPES

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

ZACKERIA RL PRIVETT PSS (NPI 1578359097) is an individual peer specialist in Grants Pass, Oregon and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1578359097
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameZACKERIA RL PRIVETTCredential: PSS
Location Address205 FRUITDALE DRGrants Pass, OR 97527-5267
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 20, 2025
✔ NPI 1578359097 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.
205 FRUITDALE DR, Grants Pass, OR 97527
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Other Providers at the Same Location NPPES 11

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

REBYL KAYE MANNING
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
CARRIE LYNN RISDON
Counselor (Mental Health)
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
CHEYANN ROSE FITZGERALD-COOPER
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
LISA EDWARDS
Counselor (Mental Health)
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
DEANNA C HAVRANEK CADC, CRM
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 479-8847
ROSE MARIE DEFORD CADC
Counselor (Addiction (Substance Use Disorder))
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
DESIREE JANET MOURNING CRM
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373
MR. RICHARD G WRIGHT PSS
Peer Specialist
205 FRUITDALE DR
GRANTS PASS, OR 97527
Josephine County (541) 476-2373

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 Zackeria Privett's NPI number?

The NPI number for Zackeria Privett is 1578359097. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Zackeria Privett located?

Zackeria Privett practices at 205 Fruitdale Dr, Grants Pass, OR 97527. The listed phone number is (541) 476-2373.

What is Zackeria Privett'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 Zackeria Privett was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.