JOCELYN RUBY PEACOCK-JOHNSON BS NPI 1881713972

NPI Information

  • NPI: 1881713972
  • Provider Name: JOCELYN RUBY PEACOCK-JOHNSON, BS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10373 NE HANCOCK ST STE 200
    PORTLAND, OR
    ZIP 97220
  • Phone: (503) 261-6155

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NPI Details

Jocelyn Ruby Peacock-johnson, BS is a mental health counselor in Portland, OR. Jocelyn Ruby Peacock-johnson, BS NPI is 1881713972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10373 NE HANCOCK ST STE 200
PORTLAND, OR
ZIP 97220-873
Phone: (503) 261-6155
Fax: (503) 253-8020

The enumeration date for this NPI number is 3/28/2007 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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