P Praxis·MD
● Active Type 1 · Individual

Jean Coppernoll, PCPRC

Peer Specialist·Twin Falls, ID· NPI 1912874181 · Enumerated 2025 · 0 years on NPI
Coppernoll is 1 of 5 peer specialist providers in Twin Falls and 1 of 222 in Idaho.
NPI age
— years
Enumerated 2025-10-21
Primary specialty
Peer Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 222 active peer specialist providers in Idaho.

NPI age
0 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-10Enumerated in NPPES
2025 2026

Where they practice

Practice location
226 Martin St
Twin Falls, ID 833014542
📞 2085437230
Mailing address
18600 Se McLoughlin Blvd
Milwaukie, OR 972676723
📞 5039463267

Specialties

  • Peer Specialist Primary
    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.
    ID license #13189 taxonomy 175T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new peer specialist providers have been added in Twin Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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