MENTAL HEALTH ASSOCIATION OF BENTON COUNTY (NPI# 1134374390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134374390 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH ASSOCIATION OF BENTON COUNTY |
| Other Organization Name | JANUS HOUSE |
| Practice Address |
606 Sw 5th St Corvallis OR 97333-4418 |
| Mailing Address |
Po Box 1054 Corvallis OR 97339-1054 |
| Practice Telephone | 5417539219 |
| Practice Fax Number | 5417535368 |
| Mailing Telephone | 5417539219 |
| Mailing Fax Number | 5417535368 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | MR. WILLIAM A MCCLENAGHAN JR. (DIRECTOR) |
| Authorized Official Telephone | 5417539219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 928 | OR | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Janus House | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MENTAL HEALTH ASSOCIATION OF BENTON COUNTY | 606 Sw 5th, Corvallis, OR 97330 |
| Street Address |
606 SW 5TH ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740733906 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 4545 Ne Highway 20, Corvallis, OR 97330-9655 | 2016-07-25 |
| 1396080123 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7161 Nw Ramona Ln, Corvallis, OR 97330-9165 | 2012-12-05 |
| 1225373053 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 34118 Ne Colorado Lake Dr, Corvallis, OR 97333-2242 | 2012-12-05 |
| 1104026376 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 792 Se Mayberry Ave, Corvallis, OR 97333-1862 | 2007-07-24 |
| 1518471853 | Amy Lucason | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-11-22 |
| 1689925901 | Justin Allan Volker | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2012-09-26 |
| 1760754873 | Marco Gonzalez-kensler | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2012-02-04 |
| 1205037413 | Trillium Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| 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.