Alvin Larry Ryals III, PEER PARENT MENTOR

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

321 N 5TH St Apt 24
Klamath Falls, OR 97601-3073

Phone

(458) 290-8589

NPI assigned

Aug 13, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1396576039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N 5TH ST APT 24",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013073",
            "telephone_number": "458-290-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 5TH ST APT 24",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013073",
            "telephone_number": "458-290-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYALS",
        "first_name": "ALVIN",
        "middle_name": "LARRY",
        "name_suffix": "III",
        "credential": "PEER PARENT MENTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette M Rutherford, LPC
• Kathleen Rutherford
• Aliya Ann Rutledge
• Carrissa Rene Rutledge
• Lisa Rutter, B.S.
• Yvette Dawson Rybolt, PHD
• Julie J Ryder, PMHNP
• Vaniah Azure Diamond Rylant
• Alyssa Ryll
• Sacred Sol Healing Institute

• Peer Specialist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.