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Melvin Gilmore , CRM

Peer Specialist β€’ Klamath Falls, OR

Active NPI 1669012779 Individual Practitioner Male Practitioner
Practice location in NPPES

2210 N Eldorado Ave
Klamath Falls, OR 976016418

Call 5418831030 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2210 N Eldorado Ave

Klamath Falls, OR 976016418

Telephone 5418831030
Organization at the Same NPPES Address or Phone
Klamath Child And Family Treatment Center Facility NPI 1902830524

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Klamath Falls and Oregon

168 active clinicians are listed under Peer Specialist with a practice address in Klamath Falls, OR (3,460 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Klamath Falls

0% of these 168 clinicians have the CMS telehealth indicator.

0% of these 168 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-23
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR 19-CRM-218
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
John Arias , MA, NCC, LPC - MHSP

Counselor - Mental Health

NPI 1750428637

Master of Arts, National Certified Counselor, LPCMHSP

Kelli Bowers , LCSW

Counselor - Professional

NPI 1083695142

Licensed Clinical Social Worker

Anthony Idrogo

Social Worker - School

NPI 1619270378
Aminata Kamara , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154091304

Nurse Practitioner

Kathleen Rutherford

Social Worker - Clinical

NPI 1275949034
Rance Smith

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134644909

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 23, 2021

Registered at 2210 N ELDORADO AVE, KLAMATH FALLS, OR 976016418 (Tel: 5418831030)

πŸ“
Updated Business Mailing Address February 23, 2021

Registered at 2210 N ELDORADO AVE, KLAMATH FALLS, OR 976016418 (Tel: 5418831030)

βœ…
NPI Profile Active January 07, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 07, 2020

Registered at 2555 MAIN ST, KLAMATH FALLS, OR 976012723 (Tel: 5418832795)

πŸ“
Business Mailing Address (Initial Record) January 07, 2020

Registered at PO BOX 1710, REDMOND, OR 977560516 (Tel: 5415164087)

πŸ‘€
Provider Name / Credentials (Initial Record) January 07, 2020

Recorded as MELVIN GILMORE, CRM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2020

Counselor (license number reported to NPPES: OR 19-CRM-218)

🟒
Initial NPI Registration & Enumeration January 07, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669012779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2020
Last Update: February 23, 2021
Sole Proprietor: No

Mailing Address

2210 N Eldorado Ave

Klamath Falls, OR 976016418

Phone: 5418831030

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.