POLK COUNTY HEALTH AND HUMAN SERVICES (NPI# 1265777015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265777015 |
| Entity Type | Organization |
| Organization Name | POLK COUNTY HEALTH AND HUMAN SERVICES |
| Practice Address |
182 Sw Academy St Dallas OR 97338-1922 |
| Practice Telephone | 5036239289 |
| Mailing Telephone | 5036239289 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | STACIE CHANCE (DIRECTOR) |
| Authorized Official Telephone | 5036239289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
182 SW ACADEMY ST |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841308632 | Alfredo Jose Soto | Psychiatry & Neurology | 182 Sw Academy St, Suite 30, Dallas, OR 97338-1922 | 2006-08-29 |
| 1528669918 | Helen Canchola Martinez | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-11-03 |
| 1013525542 | Zachary Beeler | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-07-21 |
| 1376175398 | Theresa Ann Kollars | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2020-02-07 |
| 1346883071 | Heather Grandis | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-25 |
| 1154963320 | Tori A Geter | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-09 |
| 1801437231 | Maria Ross | Student in an Organized Health Care Education/Training Program | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-10-07 |
| 1144871096 | Kayli Peterson | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-09-23 |
| 1174170187 | Mikel-anne Devine | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-23 |
| 1699320440 | Kelli Diane Bennett | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
| 1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
| 1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
| 1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
| 1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
| 1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
| 1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
| 1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
| 1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| Find all providers in zip 97338 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603390 | Allison A Roberts | Community/Behavioral Health | 8403 Midway Rd, Dallas, TX 75209-2835 | 2020-09-11 |
| 1033736582 | Jomarv Inc | Community/Behavioral Health | 326 E 12th St, Dallas, TX 75203-2606 | 2020-07-01 |
| 1578189940 | Your Discovery Place Inc | Community/Behavioral Health | 3155 S Lancaster Rd Ste 200, Dallas, TX 75216-4586 | 2020-06-22 |
| 1205459062 | Trinity Counseling and Wellness Services | Community/Behavioral Health | 1910 Pacific Ave Ste 14160, Dallas, TX 75201-4753 | 2020-05-27 |
| 1437799350 | Ayuda Health Partners, LLC | Community/Behavioral Health | 2600 Cole Ave Apt 408, Dallas, TX 75204-4023 | 2020-01-08 |
| 1780242214 | Precision Behavioral Health Services, LLC | Community/Behavioral Health | 14100 Montfort Dr, Ste 1236, Dallas, TX 75254-3021 | 2019-05-30 |
| 1508328287 | New Hope Counseling Agency | Community/Behavioral Health | 4311 Belmont Ave Ste 105, Dallas, TX 75204-3032 | 2019-04-02 |
| 1669938544 | Patricia Ann Smith | Community/Behavioral Health | 385 Victoria Heights Dr, Dallas, GA 30132-9276 | 2019-02-14 |
| 1639657976 | Job Sterling | Community/Behavioral Health | 1409 N Zang Blvd Apt 218, Dallas, TX 75203-1203 | 2018-07-30 |
| 1063900090 | Paul Kehinde Aremu | Community/Behavioral Health | 9830 Paramount Ave, Dallas, TX 75217-3762 | 2018-04-25 |
| Find all providers in DALLAS | ||||
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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.