Individual provider Active NPI

Barry Michael Halton, PSS

  • Peer Specialist
  • Klamath Falls, OR
National Provider Identifier
1689400905
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
111859 Issued in OR
Practice address
3206 Onyx Ave
Klamath Falls, OR 97603-7279
Phone
(541) 882-3992
NPI assigned
Sep 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 111859 OR Primary

Addresses

Primary practice location

3206 Onyx Ave
Klamath Falls, OR 97603-7279

Mailing address

1516 Mitchell St
Klamath Falls, OR 97601-4315
Phone (541) 205-3735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111859ORMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1689400905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 MITCHELL ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014315",
            "telephone_number": "541-205-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 ONYX AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037279",
            "telephone_number": "541-882-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTON",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "credential": "PSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "111859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.