GREEN MOUNTAIN MENTAL HEALTH (NPI# 1831712942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831712942 |
| Entity Type | Organization |
| Organization Name | GREEN MOUNTAIN MENTAL HEALTH |
| Practice Address |
10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 |
| Mailing Address |
18271 Sw Ewen Dr Aloha OR 97003-3816 |
| Practice Telephone | 9713151300 |
| Mailing Telephone | 9712356203 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | LENA MONTEVERDI (MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 9713151300 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GREEN MOUNTAIN MENTAL HEALTH LLC | 10700 Sw Beaverton Hillsdale Hwy, Bldg 3 Suite 560, Beaverton, OR 97005 |
| Street Address |
10700 SW BEAVERTON HILLSDALE HWY STE 560 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174825350 | Debbie Yoro | Social Worker | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 | 2010-11-22 |
| 1689192593 | Integral Acupuncture Health, LLC | Acupuncturist | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 | 2017-08-31 |
| 1649556507 | Alexander Ramirez | Counselor | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441536 | Restoring Balance LLC | Clinic/Center | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599545 | Rework Behavioral Therapy, LLC | Clinic/Center | 7724 Se Aspen Summit Dr Ste 300, Portland, OR 97266-9217 | 2020-05-14 |
| 1447871066 | Sande School of Horsemanship | Clinic/Center | 33836 Bennett Rd, Warren, OR 97053-9706 | 2020-05-05 |
| 1740812809 | Inhousedoc, Inc. | Clinic/Center | 23334 Sw Saint Charles Way, Sherwood, OR 97140-9483 | 2020-02-06 |
| 1033740204 | Cascade Therapy Center, LLC | Clinic/Center | 4531 Se Belmont St Ste 106, Portland, OR 97215-1675 | 2020-01-28 |
| 1043861222 | Renewing Strength Counseling LLC | Clinic/Center | 4509 S 6th St Ste 310, Klamath Falls, OR 97603-4883 | 2019-09-27 |
| 1205338365 | Youth Era | Clinic/Center | 44 W Broadway Ste 225, Eugene, OR 97401-3071 | 2018-03-05 |
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1801177902 | Cascade Counseling and Assessment | Clinic/Center | 516 Se Morrison St Ste 705, Portland, OR 97214-2347 | 2011-09-01 |
| 1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
| 1760718100 | Lincoln County Health and Human Services | Clinic/Center | 320 Lower Crestline Dr., Waldport, OR 97394 | 2009-10-20 |
| 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.