LUTHERAN COMMUNITY SERVICES NW (NPI# 1720105489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720105489 |
| Entity Type | Organization |
| Organization Name | LUTHERAN COMMUNITY SERVICES NW |
| Practice Address |
2545 N Eldorado Ave Klamath Falls OR 97601-6423 |
| Mailing Address |
1211 Lynnewood Blvd Klamath Falls OR 97601-1992 |
| Practice Telephone | 5418833471 |
| Practice Fax Number | 5418833524 |
| Mailing Telephone | 5418833471 |
| Mailing Fax Number | 5418833524 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DARYL COOPER (MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 5418833471 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 090450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528199338 | Lutheran Community Services Nw | Community/Behavioral Health | 526 Center St, Lakeview, OR 97630-1518 | 2007-03-07 |
| 1932741550 | Lutheran Community Services Nw | Counselor | 1199 B Ave, Terrebonne, OR 97760-9440 | 2019-10-15 |
| 1093074882 | Lutheran Community Services Nw | Counselor | 2330 Ne Division St Ste 9b, Bend, OR 97703-3530 | 2012-05-14 |
| 1396865432 | Lutheran Community Services Nw | Counselor | 410 S Orchard St, Suite 124, Boise, ID 83705-1260 | 2007-03-30 |
| 1396862074 | Lutheran Community Services Nw | Psychologist | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-26 |
| 1114058898 | Lutheran Community Services Nw | Community/Behavioral Health | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-07 |
| Street Address |
2545 N ELDORADO AVE |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093846636 | William Francis | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-07 |
| 1841804010 | Windy Michelle Milne | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2020-09-03 |
| 1184244790 | Shauna Titus | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2020-04-23 |
| 1871137240 | Kristal Alonzo | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-10-29 |
| 1205477866 | Jessica Marie Flescher | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-10-04 |
| 1235784133 | Dara Lee Heath | Peer Specialist | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-08-07 |
| 1063065167 | Travis Thomas | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-07-18 |
| 1033676580 | Jenifer Budnick | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-02-20 |
| 1902372683 | Paulette Marie Hawthorne | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2018-10-19 |
| 1528533015 | Brenda Michaelle Odesha | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599477 | Savanna Deluca | Counselor | 113 N Laguna St, Klamath Falls, OR 97601-2709 | 2020-08-23 |
| 1730705971 | Alice Elizabeth Kintner | Counselor | 905 Main St Ste 411, Klamath Falls, OR 97601-6064 | 2020-06-23 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1265809594 | Lisa Bastuscheck | Counselor | 4520 Bristol Ave Apt 102, Klamath Falls, OR 97603-8045 | 2015-08-21 |
| 1891914735 | Melanie J Schlottmann | Counselor | 905 Main St Ste 412, Klamath Falls, OR 97601-6064 | 2007-04-25 |
| 1962627844 | Daryl Ray Cooper | Counselor | 2330 Marina Dr, Klamath Falls, OR 97601 | 2007-04-16 |
| 1093846636 | William Francis | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2007-03-07 |
| 1336292408 | Diane Putnam | Counselor | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2007-01-19 |
| 1720138019 | Ashley Elizabeth Bordelon | Counselor | 501 Main St Ste 202, Klamath Falls, OR 97601-6035 | 2007-01-11 |
| 1659355865 | Klamath Behavorial Health and Wellness | Counselor | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2005-12-01 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on LUTHERAN COMMUNITY SERVICES NW.
| 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.