KIARA PATRICE MIXON
NPI 1194298687
Counselor - Mental Health in Bend, OR
Active since January 07, 2019
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.
NPPES Registry Identity
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
Phone(541) 322-7500
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.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2577 NE COURTNEY DR, Bend, OR 97701
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.
Nurse Practitioner (Pediatrics)
2577 NE COURTNEY DR
BEND, OR 97701
BEND, OR 97701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194298687, enumerated as an "individual" on January 07, 2019.
The provider is located at 2577 NE COURTNEY DR BEND, OR 97701 and the phone number is (541) 322-7500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
