Active NPI 1871129502 Individual Practitioner Male Practitioner

Jonathan L Roeder

Peer Specialist • Salem, OR

Professional Overview & Biography Verified Profile Summary

Jonathan Roeder is a registered healthcare professional specializing in Peer Specialist in Salem, OR. Practice services are available at 4275 COMMERCIAL ST SE STE 180 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4275 Commercial St Se Ste 180

Salem, OR 973024087

Telephone 8068503363

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Salem, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

312 Specialists

Practicing in Salem, 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: 2020-03-13

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR THW000004071

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 Traditional Health Care Worker

THW000004071 (OR)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Amy Bliss

Peer Specialist

NPI 1043820905

Angela Weirich

Peer Specialist

NPI 1316580822

Vanessa Solorio

Peer Specialist

NPI 1578060398

Signe Miller

Peer Specialist

NPI 1730741521

Susana Pelayo

Peer Specialist

NPI 1972068989

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 13, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2020

Registered at 4275 COMMERCIAL ST SE STE 180, SALEM, OR 973024087 (Tel: 8068503363)

📍

Updated Business Mailing Address March 13, 2020

Registered at 4275 COMMERCIAL ST SE STE 180, SALEM, OR 973024087 (Tel: 8068503363)

👤

Provider Name / Credentials Updated March 13, 2020

Recorded as JONATHAN ROEDER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2020

Peer Specialist (License #THW000004071 in OR)

🟢

Initial NPI Registration & Enumeration March 13, 2020

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: 1871129502

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 13, 2020

Last Update: March 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4275 Commercial St Se Ste 180

Salem, OR 973024087

Phone: 8068503363

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.