Nickolas Petragallo , CRM, PSS
Peer Specialist • Bend, OR
Professional Overview & Biography Verified Profile Summary
Nickolas Petragallo, CRM, PSS is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 908 NE 4TH ST STE 101 under active NPI credentials.
Practice Location & Contact Primary Location
908 Ne 4th St Ste 101
Bend, OR 977014646
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Bend, OR
Practicing in Bend, OR (3408 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-10-05NUCC 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
Peer Specialist
PEERSUPPRT
Counselor - Professional
Counselor - Mental Health
Qualified Mental Health Professional
Counselor - Addiction (Substance Use Disorder)
CADCI, CRM, PSS
Counselor - Addiction (Substance Use Disorder)
Certified Alcohol and Drug Counselor
Counselor - Addiction (Substance Use Disorder)
CADCI
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 908 NE 4TH ST STE 101, BEND, OR 977014646 (Tel: 5416177365)
Registered at 908 NE 4TH ST STE 101, BEND, OR 977014646 (Tel: 5416177365)
Recorded as NICKOLAS PETRAGALLO, CRM/PSS
Peer Specialist (License #20-CRM-242 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
908 Ne 4th St Ste 101
Bend, OR 977014646
Phone: 5416177365
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