POLK COUNTY MENTAL HEALTH (NPI# 1639295694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639295694 |
| Entity Type | Organization |
| Organization Name | POLK COUNTY MENTAL HEALTH |
| Practice Address |
182 Sw Academy St Ste 304 Dallas OR 97338-1900 |
| Practice Telephone | 5036239289 |
| Practice Fax Number | 5036231874 |
| Mailing Telephone | 5036239289 |
| Mailing Fax Number | 5036231874 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CORINA ISABEL MARTINEZ (SERVICES COORDINATOR) |
| Authorized Official Telephone | 5036239289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 251B00000X | OR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295857977 | Polk County Mental Health | Counselor | 557 21st St Se, Salem, OR 97301-6526 | 2007-04-04 |
| 1861933863 | Polk County Mental Health | Social Worker | 182 Sw Academy St, Dallas, OR 97338-1996 | 2017-03-10 |
| 1174892301 | Polk County Mental Health | Clinic/Center | 182 Sw Academy St, Suite304, Dallas, OR 97338-1922 | 2011-12-16 |
| 1861616344 | Polk County Mental Health | Case Management | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-04-13 |
| 1770603532 | Polk County Mental Health | Clinic/Center | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-03-29 |
| 1366569998 | Polk County Mental Health | Case Management | 182 Sw Academy St, Suite 304, Dallas, OR 97338-1922 | 2007-03-26 |
| 1154447068 | Polk County Mental Health | Case Management | 182 Sw Academy St, Suite # 304, Dallas, OR 97338-1922 | 2007-03-22 |
| 1457477333 | Polk County Mental Health | Community/Behavioral Health | 182 Sw Academy St, Suite 304, Dallas, OR 97338-1922 | 2007-03-22 |
| Street Address |
182 SW ACADEMY ST STE 304 |
| City | DALLAS |
| State | OR |
| Zip Code | 97338-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770620684 | Timothy N Taylor | Nurse Practitioner | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-01-31 |
| 1578097382 | Gabriella Cordy | Social Worker | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2017-04-18 |
| 1194171884 | Emily Mitchell | Counselor | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2016-05-11 |
| 1528332434 | Nathen Tyler Van Slochteren | Counselor | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2012-02-24 |
| 1902014830 | Dana Lynne Stuart | Social Worker | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-05-21 |
| 1669689477 | Jennifer Lynn Webb | Social Worker | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-05-17 |
| 1376760736 | Barbara J Schram | Case Manager/Care Coordinator | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-04-19 |
| 1861616344 | Polk County Mental Health | Case Management | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-04-13 |
| 1861616963 | Jodi L Cabell | Social Worker | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-04-12 |
| 1487877601 | Patricia Kinsey Miller | Counselor | 182 Sw Academy St Ste 304, Dallas, OR 97338-1900 | 2007-04-10 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229611 | Jennifer Urbani Premo | Case Management | 4125 Beechwood Ln, Dallas, TX 75220-1905 | 2020-09-10 |
| 1821615048 | Tamarah Marie Epps | Case Management | 6131 Melody Ln, Dallas, TX 75231-9503 | 2020-07-03 |
| 1275153793 | North Texas Behavioral Health Authority | Case Management | 3001 Al Lipscomb Way, Dallas, TX 75215-1702 | 2020-04-24 |
| 1639639982 | Align Care, LLC | Case Management | 3630 Granada Ave, Dallas, TX 75205-2014 | 2019-03-22 |
| 1437620028 | Precious Care (hcs) | Case Management | 6227 Bowling Brook Dr, Dallas, TX 75241-2611 | 2018-12-08 |
| 1457874737 | Prime Alliance Case Management | Case Management | 8613 Old Hickory Trl Apt 206, Dallas, TX 75237-3988 | 2017-07-19 |
| 1225559891 | Lifetime Care, LLC | Case Management | 5801 Marvin D Love Fwy Ste 309, Dallas, TX 75237-2318 | 2017-07-04 |
| 1154867166 | Guiding Minds Ministries LLC | Case Management | 4022 S Buckner Blvd, Ste. B, Dallas, TX 75227-4336 | 2017-01-13 |
| 1205371275 | Vap Home Health Care, Inc. | Case Management | 9304 Forest Ln Ste S-220, Dallas, TX 75243-6238 | 2016-12-30 |
| 1467810911 | Total Dimensions Family Services, LLC | Case Management | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-01-29 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on POLK COUNTY MENTAL HEALTH.
| 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.