Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891418968 Individual Practitioner Female Practitioner

Jennafer Rose Deidrich , FAMILY PEER SUPPORT

Peer Specialist • Lakeview, OR

Professional Overview & Biography Verified Profile Summary

Jennafer Deidrich, FAMILY PEER SUPPORT is a registered healthcare professional specializing in Peer Specialist in Lakeview, OR. Practice services are available at 700 S J ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 S J St

Lakeview, OR 976301623

Telephone 5419476021
Associated Practice Facility / Clinic
🏢 Lake Health District Facility NPI 1851399695

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lakeview, OR

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

Practicing in Lakeview, OR (3408 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: 2023-03-13
Peer Specialist Primary Specialty

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

State License OR 23-QMHA-R-3371

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License OR 107865

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
Patricia Leehmann

Case Management

NPI 1003685702
Alina Sharp , QMHA

Case Manager/Care Coordinator

NPI 1053841437
Danielle Ables

Case Manager/Care Coordinator

NPI 1053998302
Jackie Mcdougle

Counselor - Mental Health

NPI 1073093167
Taylor Johnston , QMHA, CADC

Counselor - Mental Health

NPI 1093482424

QMHA, Certified Alcohol and Drug Counselor

Amanda Strain

Counselor - Addiction (Substance Use Disorder)

NPI 1104707942

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Case Manager/Care Coordinator (License #23-QMHA-R-3371 in OR)

NPI Profile Active September 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2022

Registered at 700 S J ST, LAKEVIEW, OR 976301623 (Tel: 5419476021)

📍
Updated Business Mailing Address September 22, 2022

Registered at 700 S J ST, LAKEVIEW, OR 976301623 (Tel: 5419476021)

👤
Provider Name / Credentials Updated September 22, 2022

Recorded as JENNAFER DEIDRICH, FAMILY PEER SUPPORT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration September 22, 2022

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: 1891418968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2022
Last Update: March 13, 2023
Sole Proprietor: No

Mailing Address

700 S J St

Lakeview, OR 976301623

Phone: 5419476021

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.