Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952989956 Individual Practitioner Female Practitioner

Kylie R. Johnson , CRM

Peer Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Kylie Johnson, CRM is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 389 SW SCALEHOUSE CT STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

389 Sw Scalehouse Ct Ste 130

Bend, OR 977023241

Telephone 5413064446
Fax 5415127090
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
168 Specialists

Practicing in Bend, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-10
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 21-CRM-428

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License OR 257467

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR T221364

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shannon Lind

Peer Specialist

NPI 1073357851
Holly Armstrong Rivers

Peer Specialist

NPI 1093398489
Dakota Tittle , CRM

Peer Specialist

NPI 1093571986
Sharole Beisenherz , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1124418629

CADCI

Travis Nelson , CRM

Peer Specialist

NPI 1124633532
Nicole Webb

Peer Specialist

NPI 1134779481

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2025

Counselor (License #257467 in OR)

NPI Profile Active March 31, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2021

Registered at 389 SW SCALEHOUSE CT STE 130, BEND, OR 977023241 (Tel: 5413064446)

📍
Updated Business Mailing Address March 31, 2021

Registered at 389 SW SCALEHOUSE CT STE 130, BEND, OR 977023241 (Tel: 5413064446)

👤
Provider Name / Credentials Updated March 31, 2021

Recorded as KYLIE JOHNSON, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2021

Peer Specialist (License #21-CRM-428 in OR)

🟢
Initial NPI Registration & Enumeration March 31, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952989956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2021
Last Update: November 10, 2025
Sole Proprietor: No

Mailing Address

389 Sw Scalehouse Ct Ste 130

Bend, OR 977023241

Phone: 5413064446

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.