Individual provider Active NPI

Kyra Michelle Letzring, LPC, CADCIII

  • Mental Health Counselor
  • Klamath Falls, OR
National Provider Identifier
1154743326
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
422 Main St
Klamath Falls, OR 97601-6048
Phone
(541) 851-3300
Fax
(541) 363-5678
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

422 Main St
Klamath Falls, OR 97601-6048

Mailing address

422 Main St
Klamath Falls, OR 97601-6048
Phone (541) 851-3300

Other practice location 1

4729 S 6th St
Klamath Falls, OR 97603-4958
Phone (541) 205-5800

Other identifiers 2

IdentifierTypeStateIssuer
1114058898MedicaidOR
1720105489MedicaidOR

Other names 1

  • Kyra Michelle Bivens Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Place2Heal Counseling Services Addiction (Substance Use Disorder) CurrentSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1154743326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016048",
            "telephone_number": "541-851-3300",
            "fax_number": "541-363-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016048",
            "telephone_number": "541-851-3300",
            "fax_number": "541-363-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4729 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976034958",
            "country_code": "US",
            "telephone_number": "541-205-5800",
            "fax_number": "541-363-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETZRING",
        "first_name": "KYRA",
        "middle_name": "MICHELLE",
        "credential": "LPC, CADCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114058898",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720105489",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "BIVENS",
            "middle_name": "MICHELLE",
            "credential": "CADCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 11, 2023; 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.