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Active NPI 1154167906 Individual Practitioner Male Practitioner

Jared Mitchell , PEER SUPPORT

Peer Specialist • Bismarck, ND

Professional Overview & Biography Verified Profile Summary

Jared Mitchell, PEER SUPPORT is a registered healthcare professional specializing in Peer Specialist in Bismarck, ND. Practice services are available at 1237 W DIVIDE AVE STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1237 W Divide Ave Ste 5

Bismarck, ND 585011208

Telephone 7013288888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bismarck, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Bismarck, ND (296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-02
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License ND 220

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

40 Associated Practitioners
Rachael Trom , RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003017732

Registered Nurse

Dr. Yawar Abbas , MD

Psychiatry & Neurology - Psychiatry

NPI 1003369851

Doctor of Medicine (M.D.)

Adrianna Tincher

Registered Nurse

NPI 1003755570
Thomas Conmay , CASE MANAGER

Case Manager/Care Coordinator

NPI 1013712413

CASEMANAGER

Tara Moszer , LAC

Counselor - Addiction (Substance Use Disorder)

NPI 1023240736

Licensed Acupuncturist

Ashley Kramer

Case Manager/Care Coordinator

NPI 1033581137

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2024

Registered at 1237 W DIVIDE AVE STE 5, BISMARCK, ND 585011208 (Tel: 7013288888)

📍
Updated Business Mailing Address July 02, 2024

Registered at 1237 W DIVIDE AVE STE 5, BISMARCK, ND 585011208 (Tel: 7013288888)

👤
Provider Name / Credentials Updated July 02, 2024

Recorded as JARED MITCHELL, PEER SUPPORT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Peer Specialist (License #220 in ND)

🟢
Initial NPI Registration & Enumeration July 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154167906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: July 02, 2024
Sole Proprietor: No

Mailing Address

1237 W Divide Ave Ste 5

Bismarck, ND 585011208

Phone: 7013288888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.