Jackie Music, QMHA-R

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1059 NW Madras Hwy
Prineville, OR 97754-1416

Phone

(907) 378-4376

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Best Care Treatment Services

  • Community/Behavioral Health Agency
  • Prineville, OR
  • NPI 1194368373
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1942993159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977540070",
            "telephone_number": "907-378-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 NW MADRAS HWY",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541416",
            "telephone_number": "907-378-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSIC",
        "first_name": "JACKIE",
        "credential": "QMHA-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mosaic Medical
• Mosaic Medical
• Mosaic Medical Dental
• Dawn Mountz, BS
• Grayson Munn, DMD
• Jessica Lynn Neely, CADCI
• Joy Nelson
• Laura Christine Ness, B.A., M.A. MFT
• Anh Nguyen, DO
• Ellen Nichol

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.