LUTHERAN COMMUNITY SERVICE (NPI# 1902969116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902969116 |
| Entity Type | Organization |
| Organization Name | LUTHERAN COMMUNITY SERVICE |
| Practice Address |
203 Ne Court St Prineville OR 97754-1935 |
| Practice Telephone | 5414477441 |
| Practice Fax Number | 5414472066 |
| Mailing Telephone | 5414477441 |
| Mailing Fax Number | 5414472066 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA ROBBINS POTTER (CARE COORDINATOR) |
| Authorized Official Telephone | 5414806626 |
| Authorized Official Credential | B.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LUTHERAN COMMUNITY SERVICES NORTHWEST | 4040 S 188th St Ste 300, Seatac, WA 98188 |
| Oregon Corporations, Companies and Business Names | LUTHERAN COMMUNITY SERVICES NORTHWEST FOUNDATION | 605 Se Cesar E Chavez Blvd, Portland, OR 97214 |
| Vermont Business Registrations | LUTHERAN COMMUNITY SERVICES OF NEW HAMPSHIRE INC | 261 Sheep Davis Rd Stea1, Concord, NH 03301 |
| New York State Corporations | LUTHERAN COMMUNITY SERVICES, INC. | 307 Chase Bank Building, P.o. Box 1279, Jamestown, Ny 147021279 |
| Street Address |
203 NE COURT ST |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396807574 | Sten Ivan Swanston | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2006-12-14 |
| 1164698981 | Gretchen Horstman | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2008-05-01 |
| 1023287968 | J. Robert Molesworth | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2008-02-25 |
| 1982888657 | Tim M Moore | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2007-12-18 |
| 1336345180 | Kori Hokulani Kuaana | Counselor | 203 Ne Court St, Prineville, OR 97754-1935 | 2007-06-26 |
| 1073654596 | Megan Theresa Ossinger | Social Worker | 203 Ne Court St, Prineville, OR 97754-1935 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| 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 |
|---|---|---|---|---|
| 1154688299 | G.f. Enterprises | Community/Behavioral Health | 360 Nw Beaver St, Prineville, OR 97754-1836 | 2012-04-13 |
| 1346883527 | Best Care Treatment Services | Community/Behavioral Health | 1103 Ne Elm St, Prineville, OR 97754-1664 | 2019-10-21 |
| 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 | PRINEVILLE |
| Zip Code | 97754 |
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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.