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KYRSTIN LIV GANNON
NPI 1790670214
Counselor - Mental Health in Roseburg, OR

Active since June 12, 2025
545 W UMPQUA ST, ROSEBURG, OR 97471(541) 900-1506 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyrstin Liv Gannon NPPES

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

KYRSTIN LIV GANNON (NPI 1790670214) is an individual mental health provider in Roseburg, Oregon and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1790670214
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYRSTIN LIV GANNON
Location Address545 W UMPQUA STRoseburg, OR 97471-2979
Mailing Address545 W Umpqua StRoseburg, OR 97471-2979 · (541) 900-1506
Phone(541) 900-1506
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1790670214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
545 W UMPQUA ST, Roseburg, OR 97471
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Other Providers at the Same Location NPPES 13

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

MISS GABRIELLE JOAN WEBSTER
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
KACIE HUSON LCSW
Social Worker (Clinical)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
TIMOTHY JAMES LEONARD
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 957-5646
DALLIN SCOTT LOOSLI
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
AZURE NOELLE WOLFORD
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506
BERNIE RICHARD COLLARD
Counselor
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 957-5646
ALYSSA DAVIDSON LCSW
Social Worker (Clinical)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 450-9425
MARIA PAOLA FLORES MORELOS
Counselor (Mental Health)
545 W UMPQUA ST
ROSEBURG, OR 97471
Douglas County (541) 900-1506

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 Kyrstin Gannon's NPI number?

The NPI number for Kyrstin Gannon is 1790670214. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Kyrstin Gannon located?

Kyrstin Gannon practices at 545 W Umpqua St, Roseburg, OR 97471. The listed phone number is (541) 900-1506.

What is Kyrstin Gannon'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 Kyrstin Gannon was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.