Lisa Ann Bickert, PEER SUPPORT SPECIAL

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

21-CRM-597 Issued in OR

Practice address

422 Main St
Klamath Falls, OR 97601-6048

Phone

(541) 887-7974

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tayas Yawks

  • Peer Specialist
  • Klamath Falls, OR
  • NPI 1538812458
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1487237533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016048",
            "telephone_number": "541-887-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016048",
            "telephone_number": "541-887-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKERT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PEER SUPPORT SPECIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "21-CRM-597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500803626",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlie Naomi Bernhard
• Scott Alan Berry
• Tayla Danny Berry
• Best Care Treatment Services
• Bestcare Treatment Services
• Trinity Bicknell
• Jaimee Jo Bierhaus, PMHNP
• Jane Leyla Bigby, DC
• Elizabeth Anne Bird
• Tamy Faye Bjorklund

• Peer Specialist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.