Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669205159 Individual Practitioner Male Practitioner

Jason Cornutt

Peer Specialist • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Jason Cornutt is a registered healthcare professional specializing in Peer Specialist in Roseburg, OR. Practice services are available at 621 W MADRONE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 W Madrone St

Roseburg, OR 974703090

Telephone 5416722691
Associated Practice Facility / Clinic
🏢 Adapt Facility NPI 1720010549

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: 2026-01-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 23-CRM-2530

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Uriah Yraguen

Peer Specialist

NPI 1003538315
Emily Tucker , LPC NCC

Counselor - Professional

NPI 1013210681

LPCNCC

Mae Hoopes

Counselor - Addiction (Substance Use Disorder)

NPI 1013528272
Sarah Moon

Counselor - Addiction (Substance Use Disorder)

NPI 1013636034
Maggie Klapperich

Peer Specialist

NPI 1023501798
Ashley Martin

Case Manager/Care Coordinator

NPI 1023687951

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) January 08, 2026

Counselor

NPI Profile Active August 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2024

Registered at 621 W MADRONE ST, ROSEBURG, OR 974703090 (Tel: 5416722691)

📍
Updated Business Mailing Address August 21, 2024

Registered at PO BOX 1121, ROSEBURG, OR 974700254 (Tel: 5416722691)

👤
Provider Name / Credentials Updated August 21, 2024

Recorded as JASON CORNUTT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Peer Specialist (License #23-CRM-2530 in OR)

🟢
Initial NPI Registration & Enumeration August 21, 2024

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: 1669205159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2024
Last Update: January 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 1121

Roseburg, OR 974700254

Phone: 5416722691

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.