JOSEPHINE COUNTY MENTAL HEALTH (NPI# 1073625554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073625554 |
| Entity Type | Organization |
| Organization Name | JOSEPHINE COUNTY MENTAL HEALTH |
| Practice Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Practice Fax Number | 5414761526 |
| Mailing Telephone | 5414762373 |
| Mailing Fax Number | 5414761526 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. COLEEN A. MAGORIAN (ACCOUNTING TECHNICIAN) |
| Authorized Official Telephone | 5414762373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 096818 | 05 |
| Street Address |
1215 SW G ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366492 | Options for Southern Oregon | Case Management | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2005-06-16 |
| 1518507144 | Molly Kingsley Holzshu | Interpreter | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2020-01-11 |
| 1003454075 | Jorge Romero | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-12-20 |
| 1669010229 | Maricela Olivares | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-12-13 |
| 1881237022 | Jestin Murphy | Peer Specialist | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-10-21 |
| 1962043679 | Kellie Donnelly | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-10-03 |
| 1669027611 | Leslie Jayne Rose | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-08-07 |
| 1649836297 | Sherrell Lynn Burton | Registered Nurse | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-05-18 |
| 1659832525 | Ila Sachs | Interpreter | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-03-25 |
| 1669938890 | Brittanie Unterseher | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811338056 | Anthony Nello Giardina | Psychologist | 2138 Ne Halsey St, Apt 4, Portland, OR 97232-1562 | 2013-07-16 |
| 1295989440 | Kristen Wilson | Psychologist | 1985 Saginaw St S, Salem, OR 97302-5235 | 2008-11-13 |
| 1134584527 | Tara Holly Rayburn | Psychologist | 486 12th St, Astoria, OR 97103-4122 | 2015-12-29 |
| 1437521788 | Recovery Partners, P.C. | Psychologist | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006-5208 | 2015-10-27 |
| 1164891180 | Recovery Partners, P.C. At Springbrook | Psychologist | 1901 Esther St, Newberg, OR 97132-9529 | 2015-09-21 |
| 1013282482 | Trina Schlichting | Psychologist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-03-17 |
| 1679851075 | Terrence K Wager | Psychologist | 1800 Blankenship Rd, Ste.200, West Linn, OR 97068-4172 | 2011-08-02 |
| 1679861637 | Bobby L Trihub | Psychologist | 1901 Esther St, Newberg, OR 97132-9529 | 2011-07-12 |
| 1508033994 | Northwest Integrative Health Center PC | Psychologist | 201 N Meridian St Ste B, Newberg, OR 97132-2752 | 2008-05-14 |
| 1548454465 | George A Howard | Psychologist | 5 Centerpointe Dr Ste 400, Lake Oswego, OR 97035-8661 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on JOSEPHINE COUNTY MENTAL HEALTH.
| 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.