Peer Wellness Collective

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

PEER WELLNESS COLLECTIVE

Practice address

8105 Edgewater Dr
St 100
Oakland, CA 94621

Phone

(510) 652-5891

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina Killian

Title

Executive Director

Phone

(510) 652-5891

Specialties & licenses 1

Addresses

Tax ID family

Peer Wellness Collective2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alameda County Network of Mental Health Clients

  dba BestNow

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1386916344
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1205661592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 EDGEWATER DR",
            "address_2": "ST 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94621",
            "telephone_number": "510-652-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 EDGEWATER DR",
            "address_2": "ST 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94621",
            "telephone_number": "510-652-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-652-5891"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Pedraza
• Donna Reimann Pedroza, LCSW
• Sofia Pedroza
• Darren Peech
• Peer Collective Inc
• Scott R Peerenboom, D.O.
• Peers Envisioning and Engaging in Recovery Services
• Jerolyn Peery, MA, PSYCHOLOGY
• Peggy Shultz Physical Therapy, Inc.
• Valentina Pejuhesh, MFT INTERN

• Peer Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.