WALLOWA VALLEY CENTER FOR WELLNESS (NPI# 1558817528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558817528 |
Entity Type | Organization |
Organization Name | WALLOWA VALLEY CENTER FOR WELLNESS |
Practice Address |
207 Sw 1st St Enterprise OR 97828-1203 |
Practice Telephone | 5414264524 |
Mailing Telephone | 5414264524 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |
Authorized Official Name | CHRISTINE GRAY (HUMAN RESOURCES) |
Authorized Official Telephone | 5414264524 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215172663 | Wallowa Valley Center for Wellness | Community Based Residential Treatment Facility, Mental Illness | 301 E.seventh Street, Joseph, OR 97846 | 2008-12-12 |
1417192972 | Wallowa Valley Center for Wellness | Community Based Residential Treatment Facility, Mental Illness | 601 Whiskey Creek Rd, Wallowa, OR 97885-7129 | 2008-12-11 |
1043249907 | Wallowa Valley Center for Wellness | Clinic/Center | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2006-07-02 |
1467006668 | Wallowa Valley Center for Wellness | Case Manager/Care Coordinator | 301 W Main St, Enterprise, OR 97828-1245 | 2019-07-26 |
1093952996 | Wallowa Valley Center for Wellness | Clinic/Center | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2009-01-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | WALLOWA VALLEY CENTER FOR WELLNESS | 103 Hwy 82 Ste D, Enterprise, OR 97828 |
Street Address |
207 SW 1ST ST |
City | ENTERPRISE |
State | OR |
Zip Code | 97828-1203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043249907 | Wallowa Valley Center for Wellness | Clinic/Center | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2006-07-02 |
1578116653 | Michelle Jewel Mcmillan | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-18 |
1922651132 | Elizabeth A Casebourn | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-17 |
1255983243 | Kate Forster | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-10 |
1376195420 | Christian Niece | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-09 |
1215598735 | Kathryn Elizabeth Kemp | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-06-25 |
1073074860 | Amy Busch | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-03-26 |
1982165783 | Summer Breeze Thies | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-03-26 |
1578033312 | Emily Jane Nall | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2018-12-04 |
1780179895 | Johna Alford | Case Manager/Care Coordinator | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2018-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275169393 | Celina N Taylor | Case Manager/Care Coordinator | 103 Or-82, Enterprise, OR 97828 | 2020-03-20 |
1295297794 | Kindra Dawn Peterson | Case Manager/Care Coordinator | 700 Walter Street Sp. 21, Enterprise, OR 97828 | 2019-04-03 |
1518472968 | Kurt Alan Boesger | Pharmacist | 306 West North Street, Enterprise, OR 97828 | 2017-12-07 |
1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
1033655758 | Belinda Gayle Buswell | Case Manager/Care Coordinator | 207 Sw First Street, Enterprise, OR 97828 | 2017-01-19 |
1073975918 | Danielle Rose Nash | Case Manager/Care Coordinator | Wallowa Valley Center for Wellness 201 Sw 2nd St, Enterprise, OR 97828 | 2016-03-21 |
1780040022 | Dolores Irene Beck | Counselor | 207 Sw 1st Street, Enterprise, OR 97828 | 2015-12-31 |
1245530344 | Olive Branch Family Health Inc | General Practice | 306 W North Street, Enterprise, OR 97828 | 2010-10-24 |
1952615163 | Red Cross United Drug, Inc. | Pharmacy | 306 West North St., Enterprise, OR 97828 | 2010-07-29 |
1386788131 | Gale A Barton | Chiropractor | 109 East Main St, Enterprise, OR 97828 | 2007-02-16 |
Find all providers in zip 97828 |
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 |
---|---|---|---|---|
1871072793 | Centrum Aba, LLC | Community/Behavioral Health | 25 Courtyard Way, Enterprise, AL 36330-5054 | 2018-08-10 |
1689913170 | Turning-point Counseling Services, LLC | Community/Behavioral Health | 525 Damascus Rd, Enterprise, AL 36330-1710 | 2013-02-04 |
1609024686 | Family Counseling Center, LLC | Community/Behavioral Health | 557 Glover Ave., Suite 3, Enterprise, AL 36330-2024 | 2008-09-03 |
1902061377 | Paul Counseling Services, LLC | Community/Behavioral Health | 3950 Rucker Blvd, Enterprise, AL 36330-8771 | 2008-07-24 |
1225006059 | Florida United Methodist Children's Home Inc. | Community/Behavioral Health | 51 Children's Way, Enterprise, FL 32725 | 2006-03-09 |
1346658796 | The Wealth Lounge | Community/Behavioral Health | 557 Glover Ave, Suite 3, Enterprise, AL 36330-2070 | 2014-07-29 |
1932433752 | Enterprise Behavioral Services | Community/Behavioral Health | 1275 James Dr, Suite A, Enterprise, AL 36330-2063 | 2009-09-25 |
1548418452 | Fred George Ph.d,, P.a. | Community/Behavioral Health | 1275 James Dr, Suite A, Enterprise, AL 36330-2063 | 2008-09-04 |
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 |
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City | ENTERPRISE |
Zip Code | 97828 |
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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.