TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS (NPI# 1235682360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235682360 |
| Entity Type | Organization |
| Organization Name | TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS |
| Practice Address |
5728 S 6th St Klamath Falls OR 97603-5108 |
| Mailing Address |
Po Box 1035 Klamath Falls OR 97601-0392 |
| Practice Telephone | 5412812956 |
| Mailing Telephone | 5412812956 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | JAMES YAHNE (DIRECTOR/COUNSELOR) |
| Authorized Official Telephone | 5412812956 |
| Authorized Official Credential | MAC,CADC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 96-10-89 | OR | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS | 1409 Lakeshore Dr, Klamath Falls, OR 97601 |
| Street Address |
5728 S 6TH ST |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| 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 |
|---|---|---|---|---|
| 1205447851 | Connect Restore Thrive Counseling Group | Counselor | 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 | 2020-08-16 |
| 1386810497 | Jennifer Lynn Patzke | Counselor | 905 Main St Ste 607, Klamath Falls, OR 97601 | 2008-05-08 |
| 1194280776 | Garrin Riddle | Counselor | 2555 Main St, Klamath Falls, OR 97601-2723 | 2019-02-07 |
| 1306364450 | Emily Suzanne Shields | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-09-08 |
| 1780102822 | Shelby Nicole Lee | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-09-08 |
| 1740705086 | Rosana Chavolla-hernandez | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-08-08 |
| 1447775812 | Cassi Lynn Props | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-08-07 |
| 1720503196 | Diane Elizabeth Tiffee | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601 | 2017-08-07 |
| 1508306259 | Shadd Cunningham | Counselor | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2017-02-28 |
| 1023557121 | Kyra Giffen | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-02-22 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on TREE OF LIFE CHRISTIAN WILDERNESS EXPEDITIONS.
| 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.