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Deactivated NPI 1821424326 Deactivated / Inactive NPI Male Practitioner

John Lyle Pfeiffer

Peer Specialist • Tigard, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Pfeiffer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 17, 2013
NPI Deactivation Date January 14, 2021
Total Practice Duration ~8 Years of Practice (2013 – 2021)

Professional Overview & Biography Verified Profile Summary

John Pfeiffer was a registered Peer Specialist practicing in Tigard, OR. Throughout an active medical career spanning 8 years, John Pfeiffer provided care at the practice location at 10362 SW MCDONALD ST until profile deactivation on 2021-01-14.

Practice Location & Contact Primary Location

Practice Address

10362 Sw Mcdonald St

Tigard, OR 972244863

Telephone 5036240312
Fax 5036393973
Associated Practice Facility / Clinic
🏢 Coda, Inc. Facility NPI 1437213865

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tigard, OR

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

Practicing in Tigard, 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: 2021-05-27
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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

640 S. 2nd Street, Family Solutions

Central Point, OR 97502

Phone: 5416650359

Practice Associates & Co-Workers

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

24 Associated Practitioners
Shana Sierra , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1023476983

CADCII

Alice Clark , RN

Registered Nurse

NPI 1033501382

Registered Nurse

Candy Metelak , CRM, PRC, CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1063035293

CRM, PRC, CADCI

Leah Franklin , RN

Registered Nurse

NPI 1134511488

Registered Nurse

Jason Grismore , CADC I CANDIDATE

Counselor - Addiction (Substance Use Disorder)

NPI 1215329545

CADCICANDIDATE

Gregory Tornholm

Peer Specialist

NPI 1225831019

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location May 27, 2021

Registered at 10362 SW MCDONALD ST, TIGARD, OR 972244863 (Tel: 5036240312)

📍
Updated Business Mailing Address May 27, 2021

Registered at 1027 E BURNSIDE ST, PORTLAND, OR 972141328 (Tel: 5032398400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Peer Specialist

📍
Updated Practice Location March 02, 2021

Registered at 640 S. 2ND STREET, FAMILY SOLUTIONS, CENTRAL POINT, OR 97502 (Tel: 5416650359)

📍
Updated Business Mailing Address March 02, 2021

Registered at 650 S. 4TH STREET, FAMILY SOLUTIONS, CENTRAL POINT, OR 97502 (Tel: 5416650359)

👤
Provider Name / Credentials Updated March 02, 2021

Recorded as JOHN PFEIFFER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2021

Behavior Analyst

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NPI Profile Deactivated January 14, 2021

Record deactivated on January 14, 2021

NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2013

Registered at 640 S. 2ND STREET, FAMILY SOLUTIONS, CENTRAL POINT, OR 97502 (Tel: 5416650359)

📍
Updated Business Mailing Address September 17, 2013

Registered at 650 S. 4TH STREET, FAMILY SOLUTIONS, CENTRAL POINT, OR 97502 (Tel: 5416650359)

👤
Provider Name / Credentials Updated September 17, 2013

Recorded as JOHN PFEIFFER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Behavior Analyst

🟢
Initial NPI Registration & Enumeration September 17, 2013

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: 1821424326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2013
Last Update: May 27, 2021
Deactivation Date: January 14, 2021
Sole Proprietor: No

Mailing Address

1027 E Burnside St

Portland, OR 972141328

Phone: 5032398400

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.