KYLIE R. JOHNSON CRM
NPI 1952989956
Peer Specialist in Bend, OR

Q: What is Kylie Johnson's NPI number?

The NPI number for Kylie Johnson is 1952989956. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Kylie Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kylie Johnson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 31, 2021

389 SW SCALEHOUSE CT STE 130, BEND, OR 97702(541) 306-4446(541) 512-7090 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 10, 2025, Mar 31, 2021 (2 updates tracked since 2021).

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About Kylie R. Johnson Crm NPPES

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

KYLIE R. JOHNSON CRM (NPI 1952989956) is an individual peer specialist in Bend, Oregon, licensed in Oregon (21-CRM-428) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1952989956

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameKYLIE R. JOHNSONCredential: CRM

Location Address389 SW SCALEHOUSE CT STE 130Bend, OR 97702-3241

Mailing Address389 Sw Scalehouse Ct Ste 130Bend, OR 97702-3241 · (541) 306-4446 · Fax (541) 512-7090

Phone(541) 306-4446

Fax(541) 512-7090

Sole ProprietorNo

Enumeration DateMarch 31, 2021

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1952989956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 21-CRM-428

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T221364 (OR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 257467 (OR)

389 SW SCALEHOUSE CT STE 130, Bend, OR 97702

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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.

GABRIELLE WARD

Counselor (Addiction (Substance Use Disorder))