Individual provider · Type 1 NPI

Jamie Pemberton, PRSS, CM 1

Peer Specialist · Oklahoma City, OK

NPI number 1124909122 Active

Practice location

6100 S. Walker Ave.
Oklahoma City, OK 73139

Call (405) 634-4400 Map

Mailing address

6100 S Walker Ave
Oklahoma City, OK 73139-7026

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000X1124909122 (OK)

Peer Specialist: 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.

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About NPI 1124909122

Jamie Pemberton, PRSS, CM 1's National Provider Identifier is 1124909122, issued on Sep 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 15, 2026.