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JAURDYN LEEANNE GILLISS
NPI 1730810615
Peer Specialist in Moorhead, MN

Active since June 21, 2022
2900 5TH ST S, MOORHEAD, MN 56560(701) 306-5986 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jaurdyn Leeanne Gilliss NPPES

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

JAURDYN LEEANNE GILLISS (NPI 1730810615) is an individual peer specialist in Moorhead, Minnesota and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1730810615
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJAURDYN LEEANNE GILLISS
Location Address2900 5TH ST SMoorhead, MN 56560-4966
Mailing Address2900 5th St SMoorhead, MN 56560-4966 · (701) 306-5986
Phone(701) 306-5986
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1730810615 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.
2900 5TH ST S, Moorhead, MN 56560
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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.

THE LOTUS CENTER, INC.
Community/Behavioral Health
2900 5TH ST S
MOORHEAD, MN 56560
Clay County (218) 284-1811
CARRA L HOLUBOK
Peer Specialist
2900 5TH ST S
MOORHEAD, MN 56560
Clay County (218) 422-7243

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 Jaurdyn Gilliss's NPI number?

The NPI number for Jaurdyn Gilliss is 1730810615. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Jaurdyn Gilliss located?

Jaurdyn Gilliss practices at 2900 5th St S, Moorhead, MN 56560. The listed phone number is (701) 306-5986.

What is Jaurdyn Gilliss'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 Jaurdyn Gilliss was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.