KLAMATH BEHAVORIAL HEALTH AND WELLNESS (NPI# 1659355865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659355865 |
| Entity Type | Organization |
| Organization Name | KLAMATH BEHAVORIAL HEALTH AND WELLNESS |
| Other Organization Name | KLAMATH COUNTY MENTAL HEALTH |
| Practice Address |
3314 Vandenberg Rd Klamath Falls OR 97603-3730 |
| Practice Telephone | 5418827291 |
| Practice Fax Number | 5418834213 |
| Mailing Telephone | 5418827291 |
| Mailing Fax Number | 5418834213 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-02-15 |
| Authorized Official Name | MRS. AMANDA BUNGER (DIRECTOR) |
| Authorized Official Telephone | 5418827291 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers | |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 101568 | 05 |
| Other Name | Type Code |
|---|---|
| Klamath County Mental Health | Former Legal Business Name - Organization |
| Street Address |
3314 VANDENBERG RD |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710223581 | Kimberly Peats | Counselor | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2012-12-21 |
| 1215201207 | Stephanie Susan Machado | Counselor | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2012-03-08 |
| 1467732990 | Paige Kathleen Crozier | Nurse Practitioner | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2011-08-29 |
| 1952606469 | Dan Walter Jerden | Community Health Worker | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2011-01-13 |
| 1487955928 | Laurence Fredrick Pigott | Community Health Worker | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2010-11-16 |
| 1376844217 | Kathryn Miriam Schlafer | Case Manager/Care Coordinator | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2010-11-09 |
| 1285935221 | Brenda Karen Haskins | Case Manager/Care Coordinator | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2010-11-08 |
| 1811298870 | Gregory Allen Lara Jr. | Community Health Worker | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2010-11-08 |
| 1588965578 | Peter Mueller | Community Health Worker | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2010-11-08 |
| 1205137296 | Cynthia Parker Pigott | Registered Nurse | 3314 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003681 | Peter Erickson Counseling | Clinic/Center | 905 Main St Ste 607, Klamath Falls, OR 97601 | 2017-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226625 | Centered Therapy LLC | Clinic/Center | 300 Se Reed Market Rd Ste 260, Bend, OR 97702-3816 | 2020-08-17 |
| 1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
| 1942845805 | I. Keith Orton, Phd | Clinic/Center | 745 Nw Mt Washington Dr Ste 301, Bend, OR 97703-1576 | 2019-11-14 |
| 1407408305 | Adaptability for Life LLC | Clinic/Center | 309 N 1st St, Silverton, OR 97381-1605 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on KLAMATH BEHAVORIAL HEALTH AND WELLNESS.
| 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.