Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437955689 Individual Practitioner Male Practitioner

Samuel Ray Keller , PEER SUPPORT

Peer Specialist • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Samuel Keller, PEER SUPPORT is a registered healthcare professional specializing in Peer Specialist in Roseburg, OR. Practice services are available at 1939 NE DIAMOND LAKE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1939 Ne Diamond Lake Blvd

Roseburg, OR 974703573

Telephone 5419575646
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Roseburg, OR

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

Practicing in Roseburg, 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: 2025-02-19
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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Staci Enserink

Counselor - Mental Health

NPI 1033985379
Timothy Leonard

Counselor - Mental Health

NPI 1164238440
Christopher Hudgeon

Case Manager/Care Coordinator

NPI 1194322396
Jeanie Curphey

Counselor - Mental Health

NPI 1295366953
NPI 1346944709
Samantha Uram

Counselor - Mental Health

NPI 1487409587

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2025

Registered at 1939 NE DIAMOND LAKE BLVD, ROSEBURG, OR 974703573 (Tel: 5419575646)

📍
Updated Business Mailing Address February 19, 2025

Registered at 964 SE TERRACE DR, ROSEBURG, OR 974704330 (Tel: 9095339377)

👤
Provider Name / Credentials Updated February 19, 2025

Recorded as SAMUEL KELLER, PEER SUPPORT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration February 19, 2025

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: 1437955689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2025
Last Update: February 19, 2025
Sole Proprietor: No

Mailing Address

964 Se Terrace Dr

Roseburg, OR 974704330

Phone: 9095339377

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.