Individual provider Active NPI

Krystle Irene Morgester, QMHA, CRM-II, PSS

  • Mental Health Counselor
  • Salem, OR
National Provider Identifier
1770329252
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25-QMHA-I-005123 Issued in OR
Practice address
750 Front St NE
Salem, OR 97301-1089
Phone
(503) 363-2021
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X T-24-3994 OR
Peer Specialist 175T00000X THW000111131 OR
Mental Health Counselor 101YM0800X 25-QMHA-I-005123 OR Primary

Addresses

Primary practice location

750 Front St NE
Salem, OR 97301-1089

Mailing address

PO Box 17818
Salem, OR 97305-7818
Phone (503) 363-2021

Other practice location 1

2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824
Phone (541) 682-3608

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
T-24-3994ORMDAddiction (Substance Use Disorder) Counselor
25-QMHA-I-005123ORMDMental Health Counselor
THW000111131ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Recovery Services Addiction (Substance Use Disorder) CurrentSince Jul 7, 2024 Accepting new patients

Locations

750 Front St NE
Salem, OR 97301
Phone (503) 361-2660

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bridgewayrecovery/r4/

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1770329252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17818",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973057818",
            "telephone_number": "503-363-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FRONT ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011089",
            "telephone_number": "503-363-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974015824",
            "country_code": "US",
            "telephone_number": "541-682-3608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGESTER",
        "first_name": "KRYSTLE",
        "middle_name": "IRENE",
        "credential": "QMHA, CRM-II, PSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-24-3994",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "THW000111131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "25-QMHA-I-005123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.