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JOHN LEROY CLEMONS CRM
NPI 1790505865
Peer Specialist in Bend, OR

Active since October 14, 2024
389 SW SCALEHOUSE CT, BEND, OR 97702(541) 306-4443(541) 550-2011 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Leroy Clemons Crm NPPES

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

JOHN LEROY CLEMONS CRM (NPI 1790505865) is an individual peer specialist in Bend, Oregon, licensed in Oregon (24-CRM-3777) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1790505865
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHN LEROY CLEMONSCredential: CRM
Location Address389 SW SCALEHOUSE CTBend, OR 97702-3241
Mailing Address389 Sw Scalehouse CtBend, OR 97702-3241 · (541) 306-4443 · Fax (541) 550-2011
Phone(541) 306-4443
Fax(541) 550-2011
Sole ProprietorNo
Enumeration DateOctober 14, 2024
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
✔ NPI 1790505865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 24-CRM-3777
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 · Mental HealthTaxonomy 101YM0800X · License 25-QMHA-R-7845 (OR)
389 SW SCALEHOUSE CT, Bend, OR 97702
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Other Providers at the Same Location NPPES 4

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

SHANNON NICOLE LIND
Peer Specialist
389 SW SCALEHOUSE CT
BEND, OR 97702
Deschutes County (541) 306-4446
MS. LEZLIE NEUSTETER KELLISON LCSW
Social Worker (Clinical)
389 SW SCALEHOUSE CT
BEND, OR 97702
Deschutes County (626) 185-3915
JACOB AUSTIN SCHUNKE
Peer Specialist
389 SW SCALEHOUSE CT
BEND, OR 97702
Deschutes County (541) 306-4446
MS. THERESA M DESOUZA CADCII, QHMA-I
Counselor (Addiction (Substance Use Disorder))
389 SW SCALEHOUSE CT
BEND, OR 97702
Deschutes County (541) 306-4466

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 John Clemons's NPI number?

The NPI number for John Clemons is 1790505865. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is John Clemons located?

John Clemons practices at 389 SW Scalehouse Ct, Bend, OR 97702. The listed phone number is (541) 306-4443.

What is John Clemons'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 John Clemons was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.