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CARLY JANE NICOLAU
NPI 1841076742
Peer Specialist in Bend, OR

Active since September 06, 2023
23 NW GREENWOOD AVE, BEND, OR 97703(541) 383-4293 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carly Jane Nicolau NPPES

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

CARLY JANE NICOLAU (NPI 1841076742) is an individual peer specialist in Bend, Oregon, licensed in Oregon (23-CRM-2333) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1841076742
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCARLY JANE NICOLAU
Location Address23 NW GREENWOOD AVEBend, OR 97703-2078
Mailing Address1695 Ne Purcell Blvd Apt 16Bend, OR 97701-6160 · (541) 350-0749
Phone(541) 383-4293
Sole ProprietorYes
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1841076742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 23-CRM-2333
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.
23 NW GREENWOOD AVE, 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.

RYAN HUTCHINSON
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
BREYN M HIBBS CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
WILLIAM DANIEL SHERFIELD CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
CORA LESSETTE VOGEL CADC R
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
KAYLA LYNN MILLER CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
HEATHER SAUCEDO CADC II
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
DEBORAH BURRIS
Counselor (Addiction (Substance Use Disorder))
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293
JESSICA KAMERI HEMING CRM
Peer Specialist
23 NW GREENWOOD AVE
BEND, OR 97703
Deschutes County (541) 383-4293

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 Carly Nicolau's NPI number?

The NPI number for Carly Nicolau is 1841076742. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Carly Nicolau located?

Carly Nicolau practices at 23 NW Greenwood Ave, Bend, OR 97703. The listed phone number is (541) 383-4293.

What is Carly Nicolau'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 Carly Nicolau was last updated on September 6, 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.