Jennafer Rose Deidrich, FAMILY PEER SUPPORT
NPI 1891418968ActiveIndividual· Peer Specialist· Lakeview, OR
Peer Specialist (FAMILY PEER SUPPORT) in Lakeview, Oregon, licensed in OR, with an NPI issued in September 2022.
Overview
| NPI | 1891418968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FAMILY PEER SUPPORT |
| Sole proprietor | No |
| NPI issued | Sep 22, 2022 |
| Last updated in NPPES | Mar 13, 2023 |
| Certified by provider | Mar 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X | — | — |
| Case Manager/Care Coordinator | 171M00000X | 23-QMHA-R-3371 | OR |
| Peer Specialist | 175T00000X | 107865 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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