Roni Rene' Wilder , PEER SUPPORT
Peer Specialist • Omaha, NE
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Roni Wilder has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Roni Wilder, PEER SUPPORT was a registered Peer Specialist practicing in Omaha, NE. Throughout an active medical career spanning 1 years, Roni Wilder provided care at the practice location at 1709 JACKSON ST until profile deactivation on 2019-08-19.
Practice Location & Contact Primary Location
1709 Jackson St
Omaha, NE 681022513
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Omaha, NE
Practicing in Omaha, NE (178 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 175T00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Master of Science, LMHP, PLADC, Licensed Professional Counselor
Counselor - Mental Health
Master of Science
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 19, 2019
NPI status registered as active in NPPES database
Registered at 1709 JACKSON ST, OMAHA, NE 681022513 (Tel: 4025992686)
Registered at 1709 JACKSON ST, OMAHA, NE 681022513 (Tel: 4025992686)
Recorded as RONI WILDER, PEER SUPPORT
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1709 Jackson St
Omaha, NE 681022513
Phone: 4025992686
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