JEFFERY WAYNE COOMER CRC CFRC NPI 1891630224

NPI Information

  • NPI: 1891630224
  • Provider Name: JEFFERY WAYNE COOMER, CRC, CFRC
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 52 E WASHINGTON AVE
    PERU, IN
    ZIP 46970
  • Phone: (765) 431-8114

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NPI Details

Jeffery Wayne Coomer, CRC, CFRC is a peer specialist in Peru, IN. The provider is 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. Jeffery Wayne Coomer, CRC, CFRC NPI is 1891630224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

52 E WASHINGTON AVE
PERU, IN
ZIP 46970-007
Phone: (765) 431-8114

The enumeration date for this NPI number is 4/22/2026 and was last updated on 4/22/2026.

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
1175T00000XPeer SpecialistCFRC-5002INDIANANo
2175T00000XPeer SpecialistCARC-5030INDIANAYes

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: 11/21/2025

NPI Synchronization or Removal

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