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LEROY JOHN KLASSEN
NPI 1669162715
Peer Specialist in Ganado, AZ

Active since May 11, 2023
SR 264 & HWY 191, GANADO, AZ 86505(928) 755-4694(928) 755-4747 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, May 11, 2023 (2 updates tracked since 2023).

About Leroy John Klassen NPPES

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

LEROY JOHN KLASSEN (NPI 1669162715) is an individual peer specialist in Ganado, Arizona, licensed in Arizona (UA2022082508) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1669162715
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLEROY JOHN KLASSEN
Location AddressSR 264 & HWY 191Ganado, AZ 86505
Mailing AddressPo Box 176Ganado, AZ 86505-0176 · (928) 206-8231
Phone(928) 755-4694
Fax(928) 755-4747
Sole ProprietorYes
Enumeration DateMay 11, 2023
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1669162715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in AZ · UA2022082508
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.
SR 264 & HWY 191, Ganado, AZ 86505
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Other Providers at the Same Location NPPES 2

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

MICHELLE CARMEN DALE
Peer Specialist
SR 264 & HWY 191
GANADO, AZ 86505
Apache County (928) 755-4586
COLLEEN FRANK FNP
Nurse Practitioner (Family)
SR 264 & HWY 191
GANADO, AZ 86505
Apache County (928) 755-4632

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 Leroy Klassen's NPI number?

The NPI number for Leroy Klassen is 1669162715. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Leroy Klassen located?

Leroy Klassen practices at Sr 264 & Hwy 191, Ganado, AZ 86505. The listed phone number is (928) 755-4694.

What is Leroy Klassen'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 Leroy Klassen was last updated on May 17, 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.