KAIROS NORTHWEST (NPI# 1487782900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487782900 |
| Entity Type | Organization |
| Organization Name | KAIROS NORTHWEST |
| Other Organization Name | KAIROS |
| Practice Address |
715 Ramsey Ave Grants Pass OR 97527-5500 |
| Mailing Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
| Practice Telephone | 5419564943 |
| Practice Fax Number | 5419565463 |
| Mailing Telephone | 5419564943 |
| Mailing Fax Number | 5419565463 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | MR. ROBERT E. LIEBERMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5419564943 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 38L011 | OR | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 38L011 | OR | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 38L011 | OR | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | 38L011 | OR | Agencies |
| Other Name | Type Code |
|---|---|
| KAIROS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366865495 | Kairos Northwest | Community Based Residential Treatment Facility, Mental Illness | 210 Tacoma St, Grants Pass, OR 97526-9370 | 2014-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | KAIROS NORTHWEST | 1750 Nebraska Ave Bldg A, Grants Pass, OR 97527 |
| Street Address |
715 RAMSEY AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295476 | Nicole Elizabeth Murray | Counselor | 715 Ramsey Ave, Grants Pass, OR 93727 | 2015-09-17 |
| 1740546910 | James H Ryan | Counselor | 715 Ramsey Ave, Grants Pass, OR 97527-5500 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| 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 |
|---|---|---|---|---|
| 1134364961 | Josephine County Finance Department | Community/Behavioral Health | 301 Nw F St, Grants Pass, OR 97526-2051 | 2008-12-08 |
| 1861845174 | Ruth Ann Strempel | Community/Behavioral Health | 402 Nw F St, Grants Pass, OR 97526-1947 | 2016-07-21 |
| 1073980165 | Kairos | Community/Behavioral Health | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2015-08-25 |
| 1720354285 | Sandra Lee Heine | Community/Behavioral Health | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2012-03-29 |
| 1144549064 | Family Friends | Community/Behavioral Health | 322 Nw F St, Grants Pass, OR 97526-2052 | 2010-05-18 |
| 1629393038 | Family Friends | Community/Behavioral Health | 322 Nw F St, Grants Pass, OR 97526-2052 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607464 | Rogue Therapy | Community/Behavioral Health | 328 S Central Ave Ste 213, Medford, OR 97501-7274 | 2020-10-24 |
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1598375990 | Inspire Wellness Counseling | Community/Behavioral Health | 535 River St, Cave Junction, OR 97523-1170 | 2020-07-31 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1548889272 | Nami of Washington County | Community/Behavioral Health | 18680 Sw Shaw St, Aloha, OR 97078-1250 | 2020-04-13 |
| 1689203515 | New Summit Behavioral Therapy, LLC | Community/Behavioral Health | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-04-02 |
| 1033749825 | Erica D. Prince, Phd, LLC | Community/Behavioral Health | 2945 Nw Mulkey Ave, Corvallis, OR 97330-1836 | 2020-01-21 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1154969772 | Columbia Community Mental Health | Community/Behavioral Health | 58581 Columbia River Hwy, Saint Helens, OR 97051-3225 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.