KYIRA WACKETT MS, LPC
NPI 1366966012
Counselor - Professional in Milwaukie, OR

Q: What is Kyira Wackett's NPI number?

The NPI number for Kyira Wackett is 1366966012. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Kyira Wackett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kyira Wackett was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 02, 2017

2115 SE ADAMS ST STE B, MILWAUKIE, OR 97222(503) 659-3480 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2019, Aug 2, 2017 (2 updates tracked since 2017).

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About Kyira Wackett Ms, Lpc NPPES

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

KYIRA WACKETT MS, LPC (NPI 1366966012) is an individual professional provider in Milwaukie, Oregon, licensed in Oregon (C5188) and active in the NPI registry since August 2017. She maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1366966012

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKYIRA WACKETTCredential: MS, LPC

Location Address2115 SE ADAMS ST STE BMilwaukie, OR 97222

Mailing Address8027 Se 49th AvePortland, OR 97206-0824 · (414) 217-2985

Phone(503) 659-3480

Sole ProprietorNo

Enumeration DateAugust 2, 2017

Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration

✔ NPI 1366966012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C5188

2115 SE ADAMS ST STE B, Milwaukie, OR 97222

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Secondary Practice Location 1

Location 16402 Odana RdMadison, WI 53719-1123 · Phone (608) 205-4450

Other Providers at the Same Location NPPES 2

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

BARBARA MAJORS LLC

Clinic/Center (Adult Mental Health)

2115 SE ADAMS ST STE B
MILWAUKIE, OR 97222

Clackamas County (503) 659-3480

BARBARA MAJORS MSW, LCSW

Social Worker (Clinical)

2115 SE ADAMS ST STE B
MILWAUKIE, OR 97222

Clackamas County (503) 309-0183

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 Kyira Wackett's NPI number?

The NPI number for Kyira Wackett is 1366966012. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Kyira Wackett located?

Kyira Wackett practices at 2115 SE Adams St Ste B, Milwaukie, OR 97222. The listed phone number is (503) 659-3480.

What is Kyira Wackett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kyira Wackett was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.