Individual provider Active NPI

Alexandra Grace Taylor

  • Mental Health Counselor
  • Klamath Falls, OR
National Provider Identifier
1821633769
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C9573 Issued in OR
Practice address
6000 New Way
Klamath Falls, OR 97601-9382
Phone
(541) 884-1841
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X R7127 OR
Mental Health Counselor 101YM0800X C9573 OR Primary

Addresses

Primary practice location

6000 New Way
Klamath Falls, OR 97601-9382

Mailing address

3949 South 6TH Street
Klamath Falls, OR 97603
Phone (541) 882-1487

Other identifiers 1

IdentifierTypeStateIssuer
500830431MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250729001433 OR Practitioner - Mental Health Counselor 2163939752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R7127ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Tribal Health & Family Services CurrentSince Dec 1, 2022 Accepting new patients
Klamath Tribal Health & Family Services CurrentSince May 14, 2023 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince Jul 7, 2025 Accepting new patients
Klamath Tribal Health and Family Services PastSince Dec 1, 2022 Accepting new patients

Locations

3949 S 6th St
Klamath Falls, OR 97603
Phone (541) 882-1487

6000 New Way
Klamath Falls, OR 97601
Phone (541) 882-1487

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 4

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1821633769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SOUTH 6TH STREET",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97603",
            "telephone_number": "541-882-1487",
            "fax_number": "541-880-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NEW WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019382",
            "telephone_number": "541-884-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7127",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C9573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500830431",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.