Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548932130 Individual Practitioner Male Practitioner

Kyle Gregory Johansen

Peer Specialist • Mcminnville, OR

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kyle Johansen is a registered healthcare professional specializing in Peer Specialist in Mcminnville, OR. Official NPI practice address is registered at 213 NE 10TH ST.

Practice Location & Contact Primary Location

Practice Address

213 Ne 10th St

Mcminnville, OR 971284825

Telephone 9712612259
Associated Practice Facility / Clinic
🏢 Yamhill County Facility NPI 1972669539

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Mcminnville, OR

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

Practicing in Mcminnville, 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: 2021-10-01
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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

21 Associated Practitioners
Margo Guajardo

Peer Specialist

NPI 1013531300
Julie Pritchett

Peer Specialist

NPI 1073368072
Lucas Bonilla

Peer Specialist

NPI 1093542912
Amber Waldrop

Peer Specialist

NPI 1093546681
Amber Jones

Peer Specialist

NPI 1134950710
Zack Mccallie

Peer Specialist

NPI 1174120638

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2021

Registered at 213 NE 10TH ST, MCMINNVILLE, OR 971284825 (Tel: 9712612259)

📍
Updated Business Mailing Address October 01, 2021

Registered at 627 NE EVANS ST, MCMINNVILLE, OR 971283923 (Tel: 5034347527)

👤
Provider Name / Credentials Updated October 01, 2021

Recorded as KYLE JOHANSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2021

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 01, 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: 1548932130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2021
Last Update: October 01, 2021
Sole Proprietor: Yes

Mailing Address

627 Ne Evans St

Mcminnville, OR 971283923

Phone: 5034347527

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.