Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffery Wayne Coomer, CRC, CFRC

Individual provider Peer Specialist · NPI 1891630224

Jeffery Wayne Coomer, CRC, CFRC is a Peer Specialist in Peru, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
Specialties on file
2

Practice location Address checks out

52 E Washington Ave
Peru, IN 46970-1007
Phone: (765) 431-8114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CARC-5030 (IN)
Peer Specialist Taxonomy 175T00000X · Licence CFRC-5002 (IN)

Record details

NPI number1891630224
Entity typeIndividual (Type 1)
GenderMale
Credentials CRC , CFRC
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026