Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265173959 Individual Practitioner Male Practitioner

Jake D Mathis

Peer Specialist • Newport, OR

Professional Overview & Biography Verified Profile Summary

Jake Mathis is a registered healthcare professional specializing in Peer Specialist in Newport, OR. Practice services are available at 547 SW 7TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

547 Sw 7th St

Newport, OR 973654909

Telephone 5415749570
Fax 5415748857
Associated Practice Facility / Clinic
🏢 Reconnections A And D Facility NPI 1588692040

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Newport, OR

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

Practicing in Newport, 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: 2022-02-10
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 21-CRM-676

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
William Smith

Specialist

NPI 1003275009
Kristopher Davis , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1023901345
Timothy Rash

Counselor - Addiction (Substance Use Disorder)

NPI 1104602655
Rebecca Gray , CRM

Peer Specialist

NPI 1114791696
Bianca Deris

Specialist

NPI 1124486741
Nicole Dickerson

Peer Specialist

NPI 1184407629

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 547 SW 7TH ST, NEWPORT, OR 973654909 (Tel: 5415749570)

📍
Updated Business Mailing Address April 05, 2022

Registered at PO BOX 1538, NEWPORT, OR 973650115 (Tel: 5415749570)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as JAKE MATHIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Peer Specialist (License #21-CRM-676 in OR)

🟢
Initial NPI Registration & Enumeration April 05, 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: 1265173959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: April 05, 2022
Sole Proprietor: No

Mailing Address

Po Box 1538

Newport, OR 973650115

Phone: 5415749570

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.