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JACQUELINE PETROVIC
NPI 1760053086
Peer Specialist in Bend, OR

Active since July 07, 2021
1900 NE DIVISION ST STE 201, BEND, OR 97701(541) 516-6330 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Petrovic NPPES

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

JACQUELINE PETROVIC (NPI 1760053086) is an individual peer specialist in Bend, Oregon and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1760053086
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACQUELINE PETROVIC
Location Address1900 NE DIVISION ST STE 201Bend, OR 97701-3572
Mailing Address1900 Ne Division St Ste 201Bend, OR 97701-3572
Phone(541) 516-6330
Sole ProprietorNo
Enumeration DateJuly 7, 2021
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1760053086 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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1900 NE DIVISION ST STE 201, Bend, OR 97701
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

ELIZABETH KAY GROTSKY MS
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 647-9179
OLAOLUWA HANNAH BAKARE MSW
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
WILL F RIEDER
Peer Specialist
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
MICHELE STUPEY
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
EMILY CRENSHAW
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
VERONA JAYNE ASCENCIO
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
JOLENE NEWMAN
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
KELLY-ANNE FLEISCHNER MACDOWELL
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
AMY ELLIOTT
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
JOYCE WANJIRU NDUNGU
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
CAROLYNNE MICHELE ERICKSON
Peer Specialist
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
EMILY JANE SCULL
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
DEVIN FOLEY
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
ROARI KI MELVILLE
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
MIAH ANDERSEN
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
GRACE NELSON
Peer Specialist
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
LANA BURGE
Social Worker (Clinical)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
CANDICE SAMANO
Behavior Technician
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
EMILIE TENGBLAD-KREFT
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330
MS. AMANDA RAYE WELLS
Counselor (Mental Health)
1900 NE DIVISION ST STE 201
BEND, OR 97701
Deschutes County (541) 516-6330

Frequently Asked Questions

What is Jacqueline Petrovic's NPI number?

The NPI number assigned to this healthcare provider is 1760053086, enumerated as an "individual" on July 07, 2021.

Where is the provider located?

The provider is located at 1900 NE DIVISION ST STE 201 BEND, OR 97701 and the phone number is (541) 516-6330.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.