Kiana Kurzynowski LPC LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KIANA KURZYNOWSKI LPC LLC

Practice address

5 NW Franklin Ave
Bend, OR 97703-2905

Phone

(541) 610-8826

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Kolene Kiana Kurzynowski, LPCNPI 1598117830

Title

Owner

Phone

(808) 633-1386

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

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

• Kolene Kiana Kurzynowski

  • Mental Health Counselor
  • Bend, OR
  • NPI 1598117830

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1821683749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63427 DESCHUTES MARKET RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018813",
            "telephone_number": "808-633-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NW FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032905",
            "telephone_number": "541-610-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIANA KURZYNOWSKI LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KURZYNOWSKI",
        "authorized_official_first_name": "KOLENE",
        "authorized_official_middle_name": "KIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-633-1386",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE NUMBER",
            "identifier": "C5862",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500712217",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "base@franklin@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical information",
            "address_1": "5 NW Franklin Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977032905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Leolani Kessinger, LMT
• Kevin Michael Phillips DC PC
• Kevin R. Pett PHD
• Christopher Todd Key, RPH
• Ross Christopher Keys, DC
• Naveed Kiany
• Lindsey Allen Kicinski
• Kids Intervention & Diagnostic Service Center, Inc.
• Jessica Kieras, PHD
• Daniel Kikkert, QMHP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.