Kintsugi Acupuncture and Psychiatric Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KINTSUGI ACUPUNCTURE AND PSYCHIATRIC CARE

Practice address

1535 State St
Salem, OR 97301-4255

Phone

(971) 720-1639

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Bryon Leverman, LACNPI 1063914133

Title

Owner/Operator

Phone

(503) 551-0988

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryon Leverman, LAC

  • Acupuncturist
  • Salem, OR
  • NPI 1063914133
  NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1669281838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014255",
            "telephone_number": "971-720-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014255",
            "telephone_number": "971-720-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI ACUPUNCTURE AND PSYCHIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "LEVERMAN",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-551-0988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin S Kingsley
• Briana Chantay Kinnison, DPT
• Toni J Kinser-Harris
• Eli Kinsley, LCSW
• Alice Elizabeth Kintner, QMHP
• Mary Kintz
• Mikaela Kirby
• Kirk S. Jepsen
• Anthony David Kirk, QMHA
• Bradley Kirkland

• Psychiatric/Mental Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.