MR. JAKE DANIEL HAROLD
NPI 1710416268
Peer Specialist in Mcminnville, OR

Active since June 08, 2017
625 NE GALLOWAY ST, MCMINNVILLE, OR 97128(503) 474-6816(503) 474-7426 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Jul 21, 2022, Jun 8, 2017 (3 updates tracked since 2017).

About Mr. Jake Daniel Harold NPPES

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

MR. JAKE DANIEL HAROLD (NPI 1710416268) is an individual peer specialist in Mcminnville, Oregon and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1710416268
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. JAKE DANIEL HAROLD
Location Address625 NE GALLOWAY STMcminnville, OR 97128-3933
Mailing Address3945 Sw 96th AvePortland, OR 97225-2520 · (951) 870-9910
Fax(503) 474-7426
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1710416268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
625 NE GALLOWAY ST, Mcminnville, OR 97128

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.

Technician
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Registered Nurse (Psychiatric/Mental Health)
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Social Worker (Clinical)
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Peer Specialist
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Case Manager/Care Coordinator
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Counselor
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128
Peer Specialist
625 NE GALLOWAY ST
MCMINNVILLE, OR 97128

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 Jake Harold's NPI number?

The NPI number for Jake Harold is 1710416268. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Jake Harold located?

Jake Harold practices at 625 NE Galloway St, Mcminnville, OR 97128. The listed phone number is (503) 474-6816.

What is Jake Harold'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 Jake Harold was last updated on August 11, 2022. 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.