DANNY MACK CUPP - NPI 1760228290 - Peer Specialist in Bend, OR

Q: What is Danny Cupp's NPI number?

The NPI number for Danny Cupp is 1760228290. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Danny Cupp's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Danny Cupp was last updated on July 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Danny Mack Cupp NPPES

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

DANNY MACK CUPP (NPI 1760228290) is an individual peer specialist in Bend, Oregon and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1760228290

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameDANNY MACK CUPP

Location Address63311 JAMISON STBend, OR 97703-8288

Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7566

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateJuly 3, 2024

NPPES CertifiedJuly 3, 2024

✔ NPI 1760228290 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.

63311 JAMISON ST, Bend, OR 97703

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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.

ERICA RAE WIMBISH

Case Manager/Care Coordinator