Active NPI
Kylee Jaye Brandt, MA, NCC, LPC
- Professional Counselor
- Tigard, OR
National Provider Identifier
1326436957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C6869
- Practice address
- 14120 SW Barrows Rd Unit 2
Tigard, OR 97223-5744 - Phone
- (503) 567-9437
- NPI assigned
- Jan 6, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | C6869 | OR | Primary |
Addresses
Primary practice location
14120 SW Barrows Rd Unit 2
Tigard, OR 97223-5744
Mailing address
14120 SW Barrows Rd Unit 2
Tigard, OR 97223-5744
Phone (503) 347-0414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Therapy LLC | Professional | Past | 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.
-
dba Oregon Counseling
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
- NPI 1295065530
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671321600000",
"number": "1326436957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14120 SW BARROWS RD UNIT 2",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235744",
"telephone_number": "503-347-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14120 SW BARROWS RD UNIT 2",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235744",
"telephone_number": "503-567-9437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "KYLEE",
"middle_name": "JAYE",
"credential": "MA, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-06",
"last_updated": "2022-12-18",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C6869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.