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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: August 16, 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 NPPES 20

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

JENNIFER KRISTIN THOMAS
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
WILL F RIEDER
Peer Specialist
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
JOLENE NEWMAN
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
DEVIN FOLEY
Counselor (Mental Health)
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

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 Jacqueline Petrovic's NPI number?

The NPI number for Jacqueline Petrovic is 1760053086. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Jacqueline Petrovic located?

Jacqueline Petrovic practices at 1900 NE Division St Ste 201, Bend, OR 97701. The listed phone number is (541) 516-6330.

What is Jacqueline Petrovic'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 Jacqueline Petrovic was last updated on April 28, 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.