NPIMap

Organization Active NPI

Columbia Community Mental Health

  • Psychiatric Residential Treatment Facility
  • Saint Helens, OR
National Provider Identifier
1174372999
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
COLUMBIA COMMUNITY MENTAL HEALTH
Practice address
105 S 3Rd St
Saint Helens, OR 97051-2009
Phone
(503) 397-5211
NPI assigned
May 14, 2024
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA COMMUNITY MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Todd Jacobson, LCSWNPI 1053479352
Title
Executive Director
Phone
(503) 438-2201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

105 S 3Rd St
Saint Helens, OR 97051-2009

Mailing address

58646 McNulty Way
Saint Helens, OR 97051-6210
Phone (503) 397-5211

Other names 1

  • Alternatives, PSRB, RTF Other name

National Provider Directory

National Provider Directory
Tax ID family
Bridge to Pathways12 organizations share this tax ID, including this one
Part of
Bridge to Pathways

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1174372999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58646 MCNULTY WAY",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516210",
            "telephone_number": "503-397-5211",
            "fax_number": "503-397-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 3RD ST",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512009",
            "telephone_number": "503-397-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA COMMUNITY MENTAL HEALTH",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-438-2201",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternatives, PSRB, RTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Helens, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.