NPIMap

Organization Active NPI

Olalla Center

  • Mental Health Counselor
  • Toledo, OR
National Provider Identifier
1013952829
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OLALLA CENTER
Practice address
321 SE 3Rd St
Toledo, OR 97391-1613
Phone
(541) 336-2254
Fax
(541) 336-1803
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dakota Sierra McKnight-ToddNPI 1871026971
Title
Office Manager
Phone
(541) 336-2254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 106 OR

Addresses

Primary practice location

321 SE 3Rd St
Toledo, OR 97391-1613

Mailing address

321 SE 3Rd St
Toledo, OR 97391-1613
Phone (541) 336-2254

Other identifiers 1

IdentifierTypeStateIssuer
297880OtherOROMAP

Other names 1

  • Lincoln County Child Day Treatment Center Former legal business name

National Provider Directory

National Provider Directory

Locations

321 SE 3rd St
Toledo, OR 97391
Phone (541) 336-2254

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1013952829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SE 3RD ST",
            "city": "TOLEDO",
            "state": "OR",
            "postal_code": "973911613",
            "telephone_number": "541-336-2254",
            "fax_number": "541-336-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 3RD ST",
            "city": "TOLEDO",
            "state": "OR",
            "postal_code": "973911613",
            "telephone_number": "541-336-2254",
            "fax_number": "541-336-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLALLA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT-TODD",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_middle_name": "SIERRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-336-2254"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "297880",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Child Day Treatment Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toledo, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.