OLALLA CENTER FOR CHILDREN AND FAMILIES (NPI# 1255757621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255757621 |
Entity Type | Organization |
Organization Name | OLALLA CENTER FOR CHILDREN AND FAMILIES |
Other Organization Name | LINCOLN COUNTY CHILD DAY TREATMENT CENTER |
Practice Address |
321 Se 3rd St Toledo OR 97391-1613 |
Practice Telephone | 5413362254 |
Practice Fax Number | 5413361803 |
Mailing Telephone | 5413362254 |
Mailing Fax Number | 5413361803 |
Enumeration Date | 2014-03-10 |
Last Update Date | 2014-03-10 |
Authorized Official Name | RAY BURLEIGH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5413362254 |
Authorized Official Credential | M.ED |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 106 | OR | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 1013952829 | 05 |
Other Name | Type Code |
---|---|
Lincoln County Child Day Treatment center | Former Legal Business Name - Organization |
Street Address |
321 SE 3RD ST |
City | TOLEDO |
State | OR |
Zip Code | 97391-1613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013952829 | Olalla Center | Clinic/Center | 321 Se 3rd St, Toledo, OR 97391-1613 | 2006-06-17 |
1366067670 | Penelope Ann Mccue | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2020-06-11 |
1548801764 | Melissa Leanne Alberti-araujo | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2019-09-30 |
1043870579 | Reilly Rice | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2019-06-17 |
1477016293 | Joshua Noel Guerra | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2019-04-09 |
1255805263 | Mckenna Jade Keys | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2019-01-14 |
1801365051 | Ceu S Alves | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2018-11-16 |
1659856110 | Jennifer Villeneuve | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2018-10-01 |
1376060145 | Diana Teem | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2017-08-23 |
1659891588 | Talisha Nicole Liles | Counselor | 321 Se 3rd St, Toledo, OR 97391-1613 | 2017-06-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
1043328768 | Gregory E Herkert | Dentist | 680 W Hwy 20, Toledo, OR 97391 | 2006-08-25 |
1134163496 | Dennis L. Kauffman | Family Medicine | 1744 Nw Business Hwy 20, Toledo, OR 97391 | 2006-06-16 |
1699854539 | Bruce C. Parsons | Optometrist | 680 W Highway 20, Toledo, OR 97391-0190 | 2006-11-02 |
1174906150 | Ryan Allan Millet | Dentist | 680 W Highway 20, Toledo, OR 97391-1125 | 2015-07-08 |
1982022000 | Mikes Mercantile Co | Pharmacy | 722 W Highway 20, Toledo, OR 97391-1128 | 2014-04-04 |
1902809502 | Uri Z Goldberg | Family Medicine | 199 W Highway 20, Toledo, OR 97391-1242 | 2005-05-27 |
1164863536 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 199 W Highway 20, Room 1, Toledo, OR 97391-1242 | 2013-07-12 |
Find all providers in zip 97391 |
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 |
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1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
1184243727 | Young Men and Women for Change | Community/Behavioral Health | 2467 1/2 Nebraska Ave, Toledo, OH 43607-3531 | 2020-04-14 |
1962038844 | Lance Larkin | Community/Behavioral Health | 5151 Monroe St Ste 204, Toledo, OH 43623-3467 | 2020-03-23 |
1013543040 | Revitalized Behavioral Healthcare, LLC | Community/Behavioral Health | 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 | 2020-03-22 |
1043846165 | Sound Mind Behavioral Wellness, LLC | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200-b, Toledo, OH 43614-1559 | 2020-03-20 |
1982259693 | Family Guidance Centers of Ohio, Inc. | Community/Behavioral Health | 4354 Monroe St, Toledo, OH 43606-1959 | 2019-08-08 |
1285199521 | Positive Living Solutions, LLC | Community/Behavioral Health | 1011 Monroe St, Toledo, OH 43604-5912 | 2019-01-31 |
1811468085 | Sasia N King | Community/Behavioral Health | 830 N. Summit Suite #2, Toledo, OH 43604-1884 | 2018-12-16 |
1669943981 | St. Paul's Community Center | Community/Behavioral Health | 230 13th St, Toledo, OH 43604-5443 | 2018-12-14 |
1386126456 | Changing Lives | Community/Behavioral Health | 316 N Michigan St Ste 435, Toledo, OH 43604-5666 | 2018-09-05 |
Find all providers in TOLEDO |
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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.