Organization Active NPI

Lake County Mental Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lakeview, OR
National Provider Identifier
1194922104
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LAKE COUNTY MENTAL HEALTH
Practice address
526 Center St
Lakeview, OR 97630-1518
Phone
(541) 947-6021
Fax
(541) 947-6020
NPI assigned
Jul 2, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Chris Siegner
Title
Director
Phone
(541) 947-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X OR Primary

Addresses

Primary practice location

526 Center St
Lakeview, OR 97630-1518

Mailing address

526 Center St
Lakeview, OR 97630-1518
Phone (541) 947-6021

National Provider Directory

National Provider Directory
Tax ID family
Lake County Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

526 Center St
Lakeview, OR 97630

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194922104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 CENTER ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301518",
            "telephone_number": "541-947-6021",
            "fax_number": "541-947-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CENTER ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301518",
            "telephone_number": "541-947-6021",
            "fax_number": "541-947-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIEGNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-947-6021"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.