Active NPI
Kyra Michelle Letzring, LPC, CADCIII
- Mental Health Counselor
- Klamath Falls, OR
National Provider Identifier
1154743326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114058898 | Medicaid | OR | |
| 1720105489 | Medicaid | OR |
Other names 1
- Kyra Michelle Bivens
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Place2Heal Counseling Services | Addiction (Substance Use Disorder) | 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.
-
- Mental Health Counselor
- Klamath Falls, OR
- NPI 1033844675
Addiction (Substance Use Disorder)
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.