TRILLIUM FAMILY SERVICES (NPI# 1407183288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407183288 |
| Entity Type | Organization |
| Organization Name | TRILLIUM FAMILY SERVICES |
| Practice Address |
3415 Se Powell Blvd Portland OR 97202-3371 |
| Practice Telephone | 5038137756 |
| Mailing Telephone | 5038137756 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | MARY JO SMITH (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5038137747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| 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 |
| 1659617298 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 9214 Sw Cascara Ln, Tualatin, OR 97062-7553 | 2013-01-01 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1235440702 | Trillium Family Services | Psychiatric Residential Treatment Facility | 3009 Nw Grant Pl, Corvallis, OR 97330-1814 | 2010-06-29 |
| 1346494101 | Trillium Family Services | Psychiatric Residential Treatment Facility | 229 Se 4th Ave, Albany, OR 97321 | 2008-11-06 |
| 1326238809 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 3830 Ne 21st Ave, Portland, OR 97212-1429 | 2007-07-31 |
| 1104026376 | Trillium Family Services | Community Based Residential Treatment Facility, Mental Illness | 792 Se Mayberry Ave, Corvallis, OR 97333-1862 | 2007-07-24 |
| 1831395375 | Trillium Family Services | Psychiatric Residential Treatment Facility | 2430 Nw Rolling Green Dr, #17, Corvallis, OR 97330-3778 | 2007-06-22 |
| 1568663078 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1505 Nw Harder Ln, Albany, OR 97321-1522 | 2007-05-31 |
| 1568663300 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4140 Ne Highway 20, Corvallis, OR 97330-9639 | 2007-05-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRILLIUM FAMILY SERVICES FOUNDATION, INC. | 3415 Se Powell Blvd, Portland, OR 97202 |
| Oregon Corporations, Companies and Business Names | TRILLIUM FAMILY SERVICES, INC. | 3415 Se Powell Blvd, Portland, OR 97202 |
| Street Address |
3415 SE POWELL BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484103 | Kelley S. Fellman | Psychiatry & Neurology | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2006-07-24 |
| 1639778715 | Nathanial Bridger Caldwell | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3396 | 2020-10-20 |
| 1104425537 | Jordan Stead | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-16 |
| 1790383560 | Patricia Sullivan | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1336747104 | Kevin Xiong | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1609474378 | Gabriella Francolla | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1447858121 | Caitlynn Smith | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-10-14 |
| 1689281321 | Ava Menchu | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-09-27 |
| 1255948014 | Garrett Key | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-09-25 |
| 1578170676 | Tenzin Namdol | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2020-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992228498 | Youth Unlimited Inc. | Foster Care Agency | 11012 Se Stark St Unit M, Portland, OR 97216-3388 | 2017-07-17 |
| 1417358417 | Danielmoray Corporation | Foster Care Agency | 1000 Ne 122nd Ave Ste 25, Portland, OR 97230-2007 | 2014-09-09 |
| 1528295227 | New Decision Treatment Foster Care, Inc. | Foster Care Agency | 11737 Se Alder St, Portland, OR 97216-3867 | 2009-06-19 |
| 1699925834 | Maple Star Oregon, Inc. | Foster Care Agency | 825 Ne 20th Ave Ste 140, Portland, OR 97232-2275 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103404 | Robert Scott Ryves | Foster Care Agency | 1106 Maple St, Florence, OR 97439-9410 | 2018-02-10 |
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1104356401 | Pamela Hayden | Foster Care Agency | 6720 Amber Ave, Klamath Falls, OR 97603-4189 | 2017-06-19 |
| 1649725169 | Radiant Care Afh LLC | Foster Care Agency | 445 N Main Ave, Warrenton, OR 97146-9677 | 2016-08-25 |
| 1932554243 | Stride Residential Services | Foster Care Agency | 2747 Newton St, Philomath, OR 97370-9214 | 2016-04-25 |
| 1962800300 | Fresh Start Family Services of Oregon, Inc. | Foster Care Agency | 8825 Se 42nd Ave, Milwaukie, OR 97222-5568 | 2014-12-17 |
| 1669888244 | Kenneth Cole | Foster Care Agency | 938 W Hilliard Ln, Eugene, OR 97404-3014 | 2014-07-03 |
| 1093955767 | Children, Adults and Families - Child Welfare | Foster Care Agency | 500 Summer St Ne # E-69, Salem, OR 97301-1063 | 2009-02-20 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1518244888 | Southern Oregon Adolescent Study & Treatment Center | Foster Care Agency | 1913 Meade St, North Bend, OR 97459-3432 | 2011-11-14 |
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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.