MR. DARREL KYNISTON KYNISTON (NPI# 1760922033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760922033 |
| Entity Type | Individual |
| Full Name | MR. DARREL KYNISTON KYNISTON |
| Credential | CADC 1 |
| Practice Address |
215 North G Street Lakeview OR 97630 |
| Mailing Address |
1497 S E St Lakeview OR 97630 |
| Practice Telephone | 5419476021 |
| Mailing Telephone | 5419476021 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | X-9-1-2018 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CADC1 LICENSE ACCBO | 16-07-13 X-9-1-2018 | 01 |
| Street Address |
215 NORTH G STREET |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| 1366462202 | Lake County Esd | Local Education Agency (LEA) | 357 N L St, Lakeview, OR 97630-1232 | 2006-07-21 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265663470 | Martina Battle Baldwin | Counselor | 285 Camp Easter Rd, Lakeview, NC 28350-8901 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1205447851 | Connect Restore Thrive Counseling Group | Counselor | 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 | 2020-08-16 |
| 1285243121 | Becky Winters Counseling, LLC | Counselor | 2622 Sw Glacier Pl Ste 140, Redmond, OR 97756-7866 | 2020-07-27 |
| 1720606999 | Kenya Amos | Counselor | 8765 Sw Illahee Ct Apt 102, Wilsonville, OR 97070-8487 | 2020-07-13 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.