Krysta Ivens

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C7963 Issued in OR

Practice address

6396 SW McVey Ave
Redmond, OR 97756-9069

Phone

(971) 217-6150

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peaks and Pines Counseling LLC

  • Counselor
  • Redmond, OR
  • NPI 1659238954
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1013556505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 NW QUINCE AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561250",
            "telephone_number": "360-526-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 SW MCVEY AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569069",
            "telephone_number": "971-217-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVENS",
        "first_name": "KRYSTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Mind Body Psychotherapy LLC
• Internal Medicine Associates of Redmond
• Pamela J Irby, MD
• Reanna Irigoyen, MS, LPC, NCC, MSW
• Lukas Ishiyama, CADC-R
• Samantha Noelle Ivey
• Rebecca Izzo
• J2 Dentistry LLC (Central Oregon Pediatric Dental Associates)
• Jack Hartley MD PC
• Alison Elizabeth Jackson, R.PH.

• Professional Counselor in Redmond, OR
• Providers in Redmond, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.