JIMMI OHRDORF
NPI 1629734074
Peer Specialist in Pueblo, CO
- Individual
- Male
- Peer Specialist
About JIMMI OHRDORF
This page provides the complete NPI Profile along with additional information for Jimmi Ohrdorf, a provider established in Pueblo, Colorado with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1629734074 assigned on November 2021. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1629734074 Verify this NPI
- Provider Name
- JIMMI OHRDORF
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1310 CHINOOK LN PUEBLO, CO 81001
- Location Phone
- (719) 545-2746
- Mailing Address
- 41 MONTEBELLO RD STE 204 PUEBLO, CO 81001
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-10-2021
- Last Update Date
- 11-10-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629734074, enumerated as an "individual" on November 10, 2021.
The provider is located at 1310 CHINOOK LN PUEBLO, CO 81001 and the phone number is (719) 545-2746.
Peer Specialist with taxonomy code 175T00000X.
