Timothy John Clark
Peer Specialist β’ Pendleton, OR
17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Peer Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Pendleton and Oregon
81 active clinicians are listed under Peer Specialist with a practice address in Pendleton, OR (3,355 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pendleton
0% of these 81 clinicians have the CMS telehealth indicator.
0% of these 81 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-01-29NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Counselor
NPI status registered as active in NPPES database
Registered at 17 SW FRAZER AVE STE 282, PENDLETON, OR 978010048 (Tel: 5412786330)
Registered at 17 SW FRAZER AVE STE 282, PENDLETON, OR 978010048 (Tel: 5412786330)
Recorded as TIMOTHY CLARK
Community/Behavioral Health
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
17 Sw Frazer Ave Ste 282
Pendleton, OR 978010048
Phone: 5412786330