Kaylin Kimberly Weerts

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23-CRM-2088 Issued in OR

Practice address

433 3Rd Ave SE
Albany, OR 97321-2860

Phone

(541) 791-7193

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Sarah Soric Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, OR
  • NPI 1083205298
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1275219958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 3RD AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212860",
            "telephone_number": "541-791-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 3RD AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212860",
            "telephone_number": "541-791-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEERTS",
        "first_name": "KAYLIN",
        "middle_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "23-CRM-2088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waverly Assisted Living, LLC
• Waverly Dental LLC
• Matthew Weaver
• Patty Weeks, RNFA
• Sara Weeks
• Christielynne Marie Weil, PHARMD, RPH
• Lance Weinberg
• Louis W. Weinstein, M.D.
• Steven Clarke Weintraub, D.D.S.
• Juergen Weissschuh

• Addiction (Substance Use Disorder) Counselor in Albany, OR
• Providers in Albany, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.