KYLIE JEANE BAUER FRIDERES MA
NPI 1235498536
Counselor - Mental Health in Bend, OR

Active since May 08, 2012
731 NW FRANKLIN AVE STE 107, BEND, OR 97703(541) 306-1128(541) 647-1162 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylie Jeane Bauer Frideres Ma NPPES

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

KYLIE JEANE BAUER FRIDERES MA (NPI 1235498536) is an individual mental health provider in Bend, Oregon, licensed in Oregon (C4603) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1235498536
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLIE JEANE BAUER FRIDERESCredential: MA
Location Address731 NW FRANKLIN AVE STE 107Bend, OR 97703
Mailing Address60748 River Bend DrBend, OR 97702-7909 · (360) 690-5264
Fax(541) 647-1162
Sole ProprietorNo
Enumeration DateMay 8, 2012
Last NPPES UpdateMay 15, 2018
NPI 1235498536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C4603
731 NW FRANKLIN AVE STE 107, Bend, OR 97703

Other Identifiers 1

Medicaid123190OR

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
731 NW FRANKLIN AVE STE 107
BEND, OR 97703

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 Kylie Frideres's NPI number?

The NPI number for Kylie Frideres is 1235498536. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Kylie Frideres located?

Kylie Frideres practices at 731 NW Franklin Ave Ste 107, Bend, OR 97703. The listed phone number is (541) 306-1128.

What is Kylie Frideres'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 Kylie Frideres was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.