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JENNAFER ROSE DEIDRICH FAMILY PEER SUPPORT
NPI 1891418968
Peer Specialist in Lakeview, OR

Active since September 22, 2022
700 S J ST, LAKEVIEW, OR 97630(541) 947-6021 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Sep 22, 2022 (2 updates tracked since 2022).

About Jennafer Rose Deidrich Family Peer Support NPPES

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

JENNAFER ROSE DEIDRICH FAMILY PEER SUPPORT (NPI 1891418968) is an individual peer specialist in Lakeview, Oregon, licensed in Oregon (107865) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1891418968
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJENNAFER ROSE DEIDRICHCredential: FAMILY PEER SUPPORT
Location Address700 S J STLakeview, OR 97630-1623
Mailing Address700 S J StLakeview, OR 97630-1623 · (541) 947-6021
Phone(541) 947-6021
Sole ProprietorNo
Enumeration DateSeptember 22, 2022
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1891418968 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 · 107865
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 23-QMHA-R-3371 (OR)
700 S J ST, Lakeview, OR 97630
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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.

IVY STEIGER
Occupational Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
JULIA SNEDIGAR MS, CCC-SLP
Speech-Language Pathologist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-7322
IRIS CONTRERAS CHW
Community Health Worker
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
NICOLE ALICIA FORBES
Peer Specialist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
HEIDI MILLER DROT, OTR/L
Occupational Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
LAKE HEALTH DISTRICT
Long Term Care Hospital
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
MOLLY GRACE BODIFORD OTR/L
Occupational Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (541) 947-2114
DR. JAMIE RENEE LEWIS DPT
Physical Therapist
700 S J ST
LAKEVIEW, OR 97630
Lake County (916) 899-8838

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 Jennafer Deidrich's NPI number?

The NPI number for Jennafer Deidrich is 1891418968. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Jennafer Deidrich located?

Jennafer Deidrich practices at 700 S J St, Lakeview, OR 97630. The listed phone number is (541) 947-6021.

What is Jennafer Deidrich'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 Jennafer Deidrich was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.