Active NPI
Daryl Allen Lee, CRM
- Peer Specialist
- Prineville, OR
National Provider Identifier
1508491994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 20-CRM-073
- Practice address
- 357 NE Court St
Prineville, OR 97754-1936 - Phone
- (541) 504-7535
- Fax
- (541) 504-7535
- NPI assigned
- Mar 6, 2020
- Sex
- Male
- 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 | 20-CRM-073 | OR | Primary |
Addresses
Primary practice location
357 NE Court St
Prineville, OR 97754-1936
Mailing address
PO Box 2298
Prineville, OR 97754-0470
Phone (541) 504-7535
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-CRM-073 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices Recovery Services, LLC | Peer Specialist | Current | Accepting new patients |
Locations
357 NE CT St
Prineville, OR 97754
Phone (541) 504-7535
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.
-
- Community/Behavioral Health Agency
- Prineville, OR
- NPI 1265771604
Peer Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1508491994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2298",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977540470",
"telephone_number": "541-504-7535",
"fax_number": "541-504-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 NE COURT ST",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977541936",
"telephone_number": "541-504-7535",
"fax_number": "541-504-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DARYL",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "20-CRM-073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.