Active NPI
Teela Marie Kilby, QMHA - PEER
- Peer Specialist
- Fossil, OR
National Provider Identifier
1346977824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 401 Fourth St
Fossil, OR 97830-8302 - Phone
- (541) 763-2746
- Fax
- (541) 763-2171
- NPI assigned
- Aug 4, 2022
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
401 Fourth St
Fossil, OR 97830-8302
Mailing address
PO Box 469
Heppner, OR 97836-0469
Phone (541) 676-9161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Heppner, OR
- NPI 1578501771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1346977824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 469",
"city": "HEPPNER",
"state": "OR",
"postal_code": "978360469",
"telephone_number": "541-676-9161",
"fax_number": "541-676-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 FOURTH ST",
"city": "FOSSIL",
"state": "OR",
"postal_code": "978308302",
"telephone_number": "541-763-2746",
"fax_number": "541-763-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILBY",
"first_name": "TEELA",
"middle_name": "MARIE",
"credential": "QMHA - PEER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fossil, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.