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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Recovery LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.