Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristina Louise Derksen, PEERSUPPORT

Individual provider Mental Health Counselor · NPI 1376932897

Kristina Louise Derksen, PEERSUPPORT is a Mental Health Counselor in Bend, Oregon. Works from 2 locations. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

2577 NE Courtney Dr
Bend, OR 97701-7752
Phone: (541) 322-7500
Fax: (541) 322-7565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 97367-5000 — (541) 265-4196

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1376932897
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORT
Sole proprietorNo
NPI enumeratedJanuary 21, 2015
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

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