Janelle Nicole Leeden, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

THW000003048 Issued in OR

Practice address

4275 Commercial St SE
Salem, OR 97302-4086

Phone

(541) 480-6558

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Janelle Nicole Wriglesworth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1386113967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12493 NW 10TH ST",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "977609745",
            "telephone_number": "541-977-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024086",
            "telephone_number": "541-480-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDEN",
        "first_name": "JANELLE",
        "middle_name": "NICOLE",
        "credential": "PSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000003048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "WRIGLESWORTH",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon May Lee, MD
• Susan C. Lee, LPC
• Tara Lee
• Wilson Lee
• Winnie Lee, DPT
• Ashley Adaline, Nicole Leedham
• Jason Patrick Leeds, DPT
• Ericia Lynn Leeper, PSY.D.
• Cynthia Kay Legere
• Dawn Lehman

• Peer Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.