Individual provider Active NPI

Kyan Jerie Osher, LPC ASSOCIATE

  • Counselor
  • Portland, OR
National Provider Identifier
1083362503
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R4173 Issued in OR
Practice address
909 SW Saint Clair Ave
Portland, OR 97205-1300
Phone
(805) 689-0475
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R4173 OR Primary

Addresses

Primary practice location

909 SW Saint Clair Ave
Portland, OR 97205-1300

Mailing address

3444 SW Gale Ave
Portland, OR 97239-1542
Phone (805) 689-0475

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Counselingwithkyan.com

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

LicenseStateTypeSpecialty
R4173ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1083362503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 SW GALE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391542",
            "telephone_number": "805-689-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW SAINT CLAIR AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051300",
            "telephone_number": "805-689-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHER",
        "first_name": "KYAN",
        "middle_name": "JERIE",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "R4173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Counselingwithkyan.com",
            "affiliation": "N",
            "address_1": "909 SW Saint Clair Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972051300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.