Kaylee Jo Kutsch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1592 Monroe St
North Bend, OR 97459-3657

Phone

(541) 756-2048

Fax

(541) 756-2058

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Columbiacare Services

  • Psychiatric Residential Treatment Facility
  • North Bend, OR
  • NPI 1386787596
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1952848053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-858-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 MONROE ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593657",
            "telephone_number": "541-756-2048",
            "fax_number": "541-756-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSCH",
        "first_name": "KAYLEE JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2022-03-21",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolene Kruusi
• Lynn C Kuchas
• Mary Kuhn
• Jessie Kullberg, LCSW
• Kara Louise Kutch
• Chelsea La Mar
• Makenzie Rae Laase, MA, CF-SLP
• Margaret Lagace, QMHA
• Jessica Laine
• Christian Johannes Lamprecht, RPH

• Mental Health Counselor in North Bend, OR
• Providers in North Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.