Kristin Killoran, LPCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R7198 Issued in OR

Practice address

19820 Village Office CT Ste 301
Bend, OR 97702-2950

Phone

(541) 797-9131

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1447915533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 NE SHEPARD RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014164",
            "telephone_number": "541-797-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 VILLAGE OFFICE CT STE 301",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022950",
            "telephone_number": "541-797-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLORAN",
        "first_name": "KRISTIN",
        "credential": "LPCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Intervention & Diagnostic Service Center, Inc.
• Jessica Kieras, PHD
• Daniel Kikkert, QMHP
• Kasia Kilijanek, PT, DPT
• Keith Killam, LMT
• Kilter Rehabilitation and Performance
• Anne Klein Kilty, ANP/WHNCP
• Caroline Y Kim, LAC
• Donald Kim, DDS
• Janice J. Kim, MD

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.