IndividualActive
Mandy Johnson, PEER SUPPORT SPECIAL
NPI 1780485094 · Peer Specialist · Pleasant Hill, OR
Provider details
- NPI number
- 1780485094
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PEER SUPPORT SPECIAL
- Sex
- Female
- Sole proprietor
- Yes
- License
- 113576 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
36542 Highway 58
Pleasant Hill, OR 97455-9689
Phone: (541) 606-2919
Street-level locationGet directions
Mailing address
36542 Highway 58
Pleasant Hill, OR 97455-9689
Registry dates
- Enumerated
- 2025-03-22
- Last updated
- 2025-03-22
- Certified
- 2025-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.