LITHIA SPRINGS (NPI# 1477708113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477708113 |
| Entity Type | Organization |
| Organization Name | LITHIA SPRINGS |
| Practice Address |
695 Mistletoe Rd Suite H Ashland OR 97520-9552 |
| Mailing Address |
201 W Main St Ste 3d Medford OR 97501-2744 |
| Practice Telephone | 5414828906 |
| Practice Fax Number | 5417793317 |
| Mailing Telephone | 5417792393 |
| Mailing Fax Number | 5417793317 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | CONNIE EIDSON (CFO) |
| Authorized Official Telephone | 5417792393 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY WORKS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 127014 | 05 | |
| OR | 164979 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LITHIA SPRINGS COMPREHENSIVE HIGH SCHOOL | 2520 E County Line Rd, Lithia Springs, GA 30122-2713 |
| Oregon Corporations, Companies and Business Names | LITHIA SPRINGS OWNERS CLUB | 2165 West Jackson Rd, Ashland, OR 97520 |
| Oregon Corporations, Companies and Business Names | LITHIA SPRINGS PARTNERS, LLC | 2165 West Jackson Rd, Ashland, OR 97520 |
| Oregon Corporations, Companies and Business Names | LITHIA SPRINGS RESORT | 2165 W Jackson Rd, Ashland, OR 97520 |
| Street Address |
695 MISTLETOE RD SUITE H |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-9552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356518302 | Jennifer Carol Maley | Marriage & Family Therapist | 695 Mistletoe Rd, Suite H, Ashland, OR 97520-9552 | 2008-05-09 |
| 1356738702 | Megan Mitchell | Counselor | 695 Mistletoe Rd, Ashland, OR 97520-9552 | 2015-04-23 |
| 1487942363 | Craig Rodney Bittinger | Counselor | 695 Mistletoe Rd, Ashland, OR 97520-9552 | 2011-07-13 |
| 1306140298 | Gabrielle Adele Leslie | Counselor | 695 Mistletoe Rd, Ashland, OR 97520-9552 | 2011-01-06 |
| 1932403821 | Harold Leon Pickens | Counselor | 695 Mistletoe Rd, Ashland, OR 97520-9552 | 2011-01-06 |
| 1588968473 | Lucinda Guerra Peterson | Counselor | 695 Mistletoe Rd, Ashland, OR 97520-9552 | 2011-01-06 |
| 1881998789 | Ernie R Flores | Counselor | 695 Mistletoe Rd, Ashland, OR 97520-9552 | 2011-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467885145 | Klamath County Juvenile Department | Substance Abuse Rehabilitation Facility | 3331 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2013-08-16 |
| 1740543297 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 3529 Fisher Rd Ne, Salem, OR 97305 | 2012-06-20 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1578864641 | Klamath Tribal Health & Family Services | Substance Abuse Rehabilitation Facility | 121 Iowa St., Klamath Falls, OR 97601 | 2010-11-05 |
| 1023322690 | The Northstar Center | Substance Abuse Rehabilitation Facility | 1195 Nw Wall St, Bend, OR 97701-1965 | 2010-08-05 |
| 1811215478 | Rimrock Trails Adolescent Treatment Services | Substance Abuse Rehabilitation Facility | 16360 1st Street, La Pine, OR 97739-0305 | 2010-05-06 |
| 1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
| 1821205246 | Gail Renee Wilson | Substance Abuse Rehabilitation Facility | 2614 Se 115th Ave Apt 2, Portland, OR 97266-1176 | 2007-05-16 |
| 1851753123 | Dalana Sewell | Substance Abuse Rehabilitation Facility | 234 W 5th St, Medford, OR 97501-2611 | 2016-03-24 |
| 1225403744 | Looking Glass Community Services - Pathways Boys | Substance Abuse Rehabilitation Facility | 550 River Rd, Eugene, OR 97404-3212 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LITHIA SPRINGS.
| 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.