COUNTY OF DOUGLAS (NPI# 1366697690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366697690 |
| Entity Type | Organization |
| Organization Name | COUNTY OF DOUGLAS |
| Other Organization Name | DOUGLAS COUNTY SHELTER CARE FACILITY |
| Practice Address |
215 Se Jackson St Roseburg OR 97470-3341 |
| Mailing Address |
1036 Se Douglas Ave Justice Building, Room 203 Roseburg OR 97470-3301 |
| Practice Telephone | 5414646404 |
| Practice Fax Number | 5414646420 |
| Mailing Telephone | 5414646404 |
| Mailing Fax Number | 5414646420 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | MS. CHRISTINA L MCMAHAN (JUVENILE DEPARTMENT DIRECTOR) |
| Authorized Official Telephone | 5414404415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Douglas County Shelter Care Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677478 | County of Douglas | Public Health or Welfare | 725 Elm St, Ste 1200, Alexandria, MN 56308-1760 | 2005-05-24 |
| 1023166048 | County of Douglas | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-08 |
| 1396892717 | County of Douglas | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-05 |
| 1770630386 | County of Douglas | Public Health or Welfare | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-04 |
| 1023165792 | County of Douglas | Community/Behavioral Health | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-04 |
| Street Address |
215 SE JACKSON ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821515 | Julia Irene Neptune | Counselor | 215 Se Jackson St, Roseburg, OR 97470-3341 | 2020-08-10 |
| 1174920144 | Christian Denzer | Counselor | 215 Se Jackson St, Roseburg, OR 97470-0368 | 2014-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1871947986 | Community Health Alliance | Community/Behavioral Health | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-04-15 |
| 1144631326 | Community Health Alliance | Community/Behavioral Health | 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471-2752 | 2014-05-09 |
| 1932309226 | Harvard Counseling Center | Community/Behavioral Health | 1813 W Harvard Ave, Suite 230, Roseburg, OR 97470-2752 | 2007-07-24 |
| 1023165792 | County of Douglas | Community/Behavioral Health | 621 W Madrone St, Roseburg, OR 97470-3090 | 2007-01-04 |
| 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 | ||||
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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.