Noah Schuerman

Individual provider Active NPI Peer Specialist · Orofino, ID

NPI 1245020775 · NPPES record last updated May 8, 2025

Key facts

NPI
1245020775
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
155 Main St
Suite 3
Orofino, ID 83544
Phone
(208) 746-4097
NPI assigned
May 8, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Recovery LLC Past
since May 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

155 Main St
Suite 3
Orofino, ID 83544

Mailing address

305 N. Belle St
Box 132
Peck, ID 83545
Phone (208) 792-1167

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2025.

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1245020775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N. BELLE ST",
            "address_2": "BOX 132",
            "city": "PECK",
            "state": "ID",
            "postal_code": "83545",
            "telephone_number": "208-792-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "address_2": "SUITE 3",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "83544",
            "telephone_number": "208-746-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUERMAN",
        "first_name": "NOAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orofino, ID

All providers in Orofino, ID · Peer Specialist in Idaho

Sources for this page

Verify at the official NPI Registry.