Active NPI
Charlene Louise Hoobler, PEER MENTOR
- Peer Specialist
- Pendleton, OR
National Provider Identifier
1598531519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 920 SW Frazer Ave Ste 212
Pendleton, OR 97801-2802 - Phone
- (541) 429-4940
- NPI assigned
- Nov 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | OR | Primary |
Addresses
Primary practice location
920 SW Frazer Ave Ste 212
Pendleton, OR 97801-2802
Mailing address
1355 SW 2ND St Apt 102
Pendleton, OR 97801-4171
Phone (458) 300-6193
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1598531519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 SW 2ND ST APT 102",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978014171",
"telephone_number": "458-300-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 SW FRAZER AVE STE 212",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978012802",
"telephone_number": "541-429-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOBLER",
"first_name": "CHARLENE",
"middle_name": "LOUISE",
"credential": "PEER MENTOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.