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JEFFERSON MICHAEL JEFFERSON
NPI 1770167090
Peer Specialist in Oklahoma City, OK

Active since May 12, 2021
900 N PORTLAND AVE # 7, OKLAHOMA CITY, OK 73107(405) 945-6775 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jefferson Michael Jefferson NPPES

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

JEFFERSON MICHAEL JEFFERSON (NPI 1770167090) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1770167090
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEFFERSON MICHAEL JEFFERSON
Location Address900 N PORTLAND AVE # 7Oklahoma City, OK 73107-6120
Mailing Address2025 Churchill WayThe Village, OK 73120-1151 · (405) 861-3610
Phone(405) 945-6775
Sole ProprietorYes
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1770167090 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.
900 N PORTLAND AVE # 7, Oklahoma City, OK 73107
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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

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

ROXEY ANN ROBBINS
Peer Specialist
900 N PORTLAND AVE # 7
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 945-6775

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 Jefferson Jefferson's NPI number?

The NPI number for Jefferson Jefferson is 1770167090. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Jefferson Jefferson located?

Jefferson Jefferson practices at 900 N Portland Ave # 7, Oklahoma City, OK 73107. The listed phone number is (405) 945-6775.

What is Jefferson Jefferson'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 Jefferson Jefferson was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.