Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205476777 Individual Practitioner Female Practitioner

Kyla M Mccormick , CRM

Peer Specialist • Grants Pass, OR

Professional Overview & Biography Verified Profile Summary

Kyla Mccormick, CRM is a registered healthcare professional specializing in Peer Specialist in Grants Pass, OR. Practice services are available at 109 NW MANZANITA AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Nw Manzanita Avenue

Grants Pass, OR 97526

Telephone 5414798847
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Grants Pass, OR

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

Practicing in Grants Pass, 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: 2020-01-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 19-CRM-273

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.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Glenna Dole

Counselor - Addiction (Substance Use Disorder)

NPI 1235518366
Rick Jones , CADCII, NCACII

Counselor - Addiction (Substance Use Disorder)

NPI 1265811657
Deanna Havranek , CADC, CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1336082031

Certified Alcohol and Drug Counselor, CRM

Shawna Valadez , CADC-R

Counselor - Addiction (Substance Use Disorder)

NPI 1346889615

CADCR

Robin Tomlinson , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1356638308

CADCII

Shawn Baehmann , BS, CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1366821787

Bachelor of Science, CADCI

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2020

Registered at 109 NW MANZANITA AVENUE, GRANTS PASS, OR 97526 (Tel: 5414798847)

📍
Updated Business Mailing Address January 13, 2020

Registered at 1215 SW G ST, GRANTS PASS, OR 975262544 (Tel: 5414762373)

👤
Provider Name / Credentials Updated January 13, 2020

Recorded as KYLA MCCORMICK, CRM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2020

Peer Specialist (License #19-CRM-273 in OR)

🟢
Initial NPI Registration & Enumeration January 13, 2020

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: 1205476777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2020
Last Update: January 13, 2020
Sole Proprietor: No

Mailing Address

1215 Sw G St

Grants Pass, OR 975262544

Phone: 5414762373

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.