Jodie Lynn Pereira, QMHA
Case Manager/Care Coordinator in Newport, OR. Individual provider (NPI-1).
NPI number1083102461
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1083102461
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jodie Lynn Pereira
- Credential
- QMHA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2018
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 175T00000X | Peer Specialist | THW1458 | OR |
Practice location
51 Sw Lee StNewport, OR 97365-3823
Phone 541-574-5960
Mailing address
36 Sw Nye StNewport, OR 97365-3821
Phone 541-265-0445
Other practice locations
764 101 S
Yachats, OR 97498
Yachats, OR 97498
Phone 541-901-1175
36 Sw Nye St
Newport, OR 97365-3821
Newport, OR 97365-3821
Phone 541-265-0445
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All 28 Case Manager/Care Coordinator providers in Newport · All 782 providers in Newport
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