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NICOLE LEWIS PSS
NPI 1710758768
Peer Specialist in Salem, OR

Active since January 09, 2024
1190 BROADWAY ST NE, SALEM, OR 97301(503) 393-4273 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Lewis Pss NPPES

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

NICOLE LEWIS PSS (NPI 1710758768) is an individual peer specialist in Salem, Oregon, licensed in Oregon (THW000110212) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1710758768
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE LEWISCredential: PSS
Location Address1190 BROADWAY ST NESalem, OR 97301-1141
Mailing Address469 Gregory Ln SeSalem, OR 97302-4823 · (503) 851-8161
Phone(503) 393-4273
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1710758768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000110212
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.
1190 BROADWAY ST NE, Salem, OR 97301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

KIMBERLY DOLAN PSS
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
ALBERT YOUNGER CRM
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
TIM JOE KEY PSS
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
JAUNDA LADD PSS
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
CHELSEA LYN COLLINS-ZAVALA PSS
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
KATE SMITH PSS
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
SIERRA ROSS PSS
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273
ERNEST BETHEA
Peer Specialist
1190 BROADWAY ST NE
SALEM, OR 97301
Marion County (503) 393-4273

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 Nicole Lewis's NPI number?

The NPI number for Nicole Lewis is 1710758768. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Nicole Lewis located?

Nicole Lewis practices at 1190 Broadway St NE, Salem, OR 97301. The listed phone number is (503) 393-4273.

What is Nicole Lewis'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 Nicole Lewis was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.