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KYLE STILWELL
NPI 1093053795
Counselor - Mental Health in Portland, OR

Active since January 30, 2013PECOS Enrolled
33 NW BROADWAY, PORTLAND, OR 97209(503) 228-7134 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle Stilwell NPPES

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

KYLE STILWELL (NPI 1093053795) is an individual mental health provider in Portland, Oregon and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093053795
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE STILWELL
Location Address33 NW BROADWAYPortland, OR 97209-3580
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-4321
Phone(503) 228-7134
Sole ProprietorNo
Enumeration DateJanuary 30, 2013
Last NPPES UpdateMarch 2, 2015
✔ NPI 1093053795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
33 NW BROADWAY, Portland, OR 97209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Stilwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JEFFREY M MOORE LPC, CADC I
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
SAMANTHA DUFFARD
Peer Specialist
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
DAVID CROUSE
Counselor (Addiction (Substance Use Disorder))
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
KAELI HARWOOD LCSW
Social Worker (Clinical)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
AUBREY ALVARADO
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
PHILIP JOHN DEGRAFFENREID
Counselor (Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
MR. JEREMY HUTSON RN
Registered Nurse
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134
CARLY HERNANDEZ KADELL DNP, PMHNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
33 NW BROADWAY
PORTLAND, OR 97209
Multnomah County (503) 228-7134

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 Kyle Stilwell's NPI number?

The NPI number for Kyle Stilwell is 1093053795. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Kyle Stilwell located?

Kyle Stilwell practices at 33 NW Broadway, Portland, OR 97209. The listed phone number is (503) 228-7134.

What is Kyle Stilwell's specialty?

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

Is Kyle Stilwell enrolled in Medicare?

Yes. Kyle Stilwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Stilwell was last updated on March 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.