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KYLA M MCCORMICK CRM
NPI 1205476777
Peer Specialist in Grants Pass, OR

Active since January 13, 2020
109 NW MANZANITA AVENUE, GRANTS PASS, OR 97526(541) 479-8847 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyla M Mccormick Crm NPPES

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

KYLA M MCCORMICK CRM (NPI 1205476777) is an individual peer specialist in Grants Pass, Oregon, licensed in Oregon (19-CRM-273) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1205476777
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKYLA M MCCORMICKCredential: CRM
Location Address109 NW MANZANITA AVENUEGrants Pass, OR 97526
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 479-8847
Sole ProprietorNo
Enumeration DateJanuary 13, 2020
✔ NPI 1205476777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 19-CRM-273
Definition
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.
109 NW MANZANITA AVENUE, Grants Pass, OR 97526
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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 Kyla Mccormick's NPI number?

The NPI number for Kyla Mccormick is 1205476777. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Kyla Mccormick located?

Kyla Mccormick practices at 109 NW Manzanita Avenue, Grants Pass, OR 97526. The listed phone number is (541) 479-8847.

What is Kyla Mccormick's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kyla Mccormick was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.