KIARA PATRICE MIXON
NPI 1194298687
Counselor - Mental Health in Bend, OR

The NPI number for Kiara Mixon is 1194298687. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

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

The NPPES record for Kiara Mixon was last updated on May 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 07, 2019

2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 2, 2024, Jan 7, 2019 (2 updates tracked since 2019).

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About Kiara Patrice Mixon NPPES

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

KIARA PATRICE MIXON (NPI 1194298687) is an individual mental health provider in Bend, Oregon and active in the NPI registry since January 2019.

NPI1194298687

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIARA PATRICE MIXON

Location Address2577 NE COURTNEY DRBend, OR 97701-7638

Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateJanuary 7, 2019

Last NPPES UpdateMay 2, 20242 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1194298687 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2577 NE COURTNEY DR, Bend, OR 97701

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

Nurse Practitioner (Family)

2577 NE COURTNEY DR, SUITE 300
BEND, OR 97701

Deschutes County (541) 322-7400

Nurse Practitioner (Adult Health)