Active NPI
Tina Marie Karrle
- Mental Health Counselor
- Klamath Falls, OR
National Provider Identifier
1063976900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A5546
- Practice address
- 2210 N Eldorado Ave
Klamath Falls, OR 97601-6418 - Phone
- (541) 883-1030
- Fax
- (541) 884-2338
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A5546 | OR | |
| Mental Health Counselor | 101YM0800X | A5546 | OR | Primary |
Addresses
Primary practice location
2210 N Eldorado Ave
Klamath Falls, OR 97601-6418
Mailing address
3704 La Marada Way
Klamath Falls, OR 97603-7632
Phone (209) 777-7304
Other practice location 1
3704 La Marada Way
Klamath Falls, OR 97603-7632
Phone (541) 205-9226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5546 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Counseling Services LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Klamath Falls, OR
- NPI 1689498412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1063976900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 LA MARADA WAY",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976037632",
"telephone_number": "209-777-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 N ELDORADO AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016418",
"telephone_number": "541-883-1030",
"fax_number": "541-884-2338"
}
],
"practiceLocations": [
{
"address_1": "3704 La Marada Way",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976037632",
"country_code": "US",
"telephone_number": "541-205-9226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARRLE",
"first_name": "TINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A5546",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "A5546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.