Individual provider Active NPI

Kristin Kaijah Bjorklund, LPC

  • Mental Health Counselor
  • Ashland, OR
National Provider Identifier
1790236537
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5443 Issued in OR
Practice address
275 Randy St
Ashland, OR 97520-1131
Phone
(541) 499-7338
Fax
(866) 701-9131
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5443 OR Primary

Addresses

Primary practice location

275 Randy St
Ashland, OR 97520-1131

Mailing address

275 Randy St
Ashland, OR 97520-1131
Phone (541) 708-5436

Other names 1

  • Kaijah Bjorklund Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 15, 2025 through Jul 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C5443ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Centre for Body Balance PastSince Aug 1, 2019 Accepting new patients
Wellspring Centre for Body Balance, P.C. Massage Therapist PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1790236537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 RANDY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201131",
            "telephone_number": "541-708-5436",
            "fax_number": "866-701-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 RANDY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201131",
            "telephone_number": "541-499-7338",
            "fax_number": "866-701-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORKLUND",
        "first_name": "KRISTIN",
        "middle_name": "KAIJAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIJAH",
            "last_name": "BJORKLUND",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.