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DERRICK KINLEY
NPI 1063855443
Counselor - Mental Health in Grants Pass, OR

Active since April 16, 2013
1215 SW G ST, GRANTS PASS, OR 97526(541) 476-2373(541) 476-1526 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Kinley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK KINLEY (NPI 1063855443) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1063855443
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK KINLEY
Location Address1215 SW G STGrants Pass, OR 97526-2544
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373 · Fax (541) 476-1526
Phone(541) 476-2373
Fax(541) 476-1526
Sole ProprietorNo
Enumeration DateApril 16, 2013
✔ NPI 1063855443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1215 SW G ST, Grants Pass, OR 97526
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA JEAN MEREDITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
SAMANTHA TEVIS
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JORGE ROMERO
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JOANNE E LITTLE
Registered Nurse
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. STACY LYNN BANCROFT LCSW
Social Worker (Clinical)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. MAUREEN MARGARET MAHONEY LPC
Counselor (Professional)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
LETTY SMITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. LISA MICHELE CAMERON
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Kinley's NPI number?

The NPI number for Derrick Kinley is 1063855443. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Derrick Kinley located?

Derrick Kinley practices at 1215 SW G St, Grants Pass, OR 97526. The listed phone number is (541) 476-2373.

What is Derrick Kinley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derrick Kinley was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.