Kiva Michels, L.C.S.W., QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L1547 Issued in OR

Practice address

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Phone

(541) 747-1235

Fax

(541) 747-4722

NPI assigned

Aug 1, 2007

Last updated

Apr 5, 2017By the provider in NPPES

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kiva.michels.1@28621.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Behavioral Care of Colorado, P.C.

  dba Eugene Center for Anxiety and Stress of Oregon

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1316717747
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Eugene Therapy of Oregon

  • Clinical Psychologist
  • Corvallis, OR
  • NPI 1861262297
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD
• Eugene Therapy LLC

  dba Oregon Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1295065530
  NPD (past)
• Jasper Mountain

  • Mental Illness Community Based Residential Treatment Facility
  • Jasper, OR
  • NPI 1497821680
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1578754818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37875 JASPER LOWELL RD",
            "city": "JASPER",
            "state": "OR",
            "postal_code": "974389751",
            "telephone_number": "541-747-1235",
            "fax_number": "541-747-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37875 JASPER LOWELL RD",
            "city": "JASPER",
            "state": "OR",
            "postal_code": "974389751",
            "telephone_number": "541-747-1235",
            "fax_number": "541-747-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "KIVA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W., QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Michelle McLean, B.S.
• Kyle McMath
• Brittany Danielle McMillan, MS
• Nichole Renee Mead, BS
• Taylor Mary Cline Meehan
• Robert Miles, B.S., QMHA
• Abbie Minten
• Meagan Mollahan
• John Wesley Monks
• Russell Moody

• Clinical Social Worker in Jasper, OR
• Providers in Jasper, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.