Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750942975 Individual Practitioner Female Practitioner

Amy Caudill , PEER SUPPORT

Peer Specialist • Madras, OR

Professional Overview & Biography Verified Profile Summary

Amy Caudill, PEER SUPPORT is a registered healthcare professional specializing in Peer Specialist in Madras, OR. Practice services are available at 850 SW 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

850 Sw 4th St

Madras, OR 977419628

Telephone 5414756575
Fax 5415041195
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Madras, OR

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

Practicing in Madras, 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR THW000003653

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Peer Suport
THW000003653 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Loretta Arthur

Counselor - Mental Health

NPI 1003224015
Emily Culbertson , CADC II, QMHA II

Counselor - Addiction (Substance Use Disorder)

NPI 1013387042

CADCII, QMHAII

Anita Sergeant , TWH

Peer Specialist

NPI 1013583038
Michelle Camburn , QMHP

Counselor - Mental Health

NPI 1033764337

Qualified Mental Health Professional

Valerie Brodbeck , QMHP

Counselor - Mental Health

NPI 1043790330

Qualified Mental Health Professional

Stacy Jim

Counselor - Mental Health

NPI 1053842690

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2019

Registered at 850 SW 4TH ST, MADRAS, OR 977419628 (Tel: 5414756575)

📍
Updated Business Mailing Address June 27, 2019

Registered at PO BOX 1710, REDMOND, OR 977560516 (Tel: 5415164087)

👤
Provider Name / Credentials Updated June 27, 2019

Recorded as AMY CAUDILL, PEER SUPPORT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Peer Specialist (License #THW000003653 in OR)

🟢
Initial NPI Registration & Enumeration June 27, 2019

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: 1750942975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2019
Last Update: June 27, 2019
Sole Proprietor: No

Mailing Address

Po Box 1710

Redmond, OR 977560516

Phone: 5415164087

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.