KYLE RAYMOND JOHNSON
NPI 1467043513
Social Worker - Clinical in Klamath Falls, OR

Active since February 01, 2021PECOS EnrolledAccepts Medicare Assignment
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601(541) 883-1030 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, Nov 15, 2023, Feb 1, 2021 (3 updates tracked since 2021).

About Kyle Raymond Johnson NPPES

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

KYLE RAYMOND JOHNSON (NPI 1467043513) is an individual clinical provider in Klamath Falls, Oregon, licensed in Oregon (L16621) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tigard, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467043513
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKYLE RAYMOND JOHNSON
Location Address2210 N ELDORADO AVEKlamath Falls, OR 97601-6418
Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418 · (541) 883-1030
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 1, 2021
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1467043513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L16621
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23-11-10964 (OR)
2210 N ELDORADO AVE, Klamath Falls, OR 97601

Secondary Practice Location 1

Location 111740 SW 68th Pkwy Ste 200Tigard, OR 97223-9058 · Phone (971) 352-6971

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Raymond Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355856519
PECOS Enrollment IDI20250716000840
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2073 OLYMPIC ST
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 143 clinicians in this Medicare group
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Registered Nurse
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Social Worker (Clinical)
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Counselor
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Peer Specialist
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601
Case Manager/Care Coordinator
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601

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 Kyle Johnson's NPI number?

The NPI number for Kyle Johnson is 1467043513. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Kyle Johnson located?

Kyle Johnson practices at 2210 N Eldorado Ave, Klamath Falls, OR 97601. The listed phone number is (541) 883-1030.

What is Kyle Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kyle Johnson enrolled in Medicare?

Yes. Kyle Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kyle Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Johnson reassigns Medicare benefits to 2 organizations: Lane County Oregon (Springfield, OR) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Johnson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kyle Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Johnson was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.