South Lane Mental Health Services, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

102491-83 Issued in OR

Legal business name

SOUTH LANE MENTAL HEALTH SERVICES, INC

Practice address

1345 Birch Ave
Cottage Grove, OR 97424-1416

Phone

(541) 942-3939

Fax

(541) 942-9310

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Therese Nadine Mastin, MA

Title

Quality Management Director

Phone

(541) 767-4176

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/slmh/r4/

Practitioners 2

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

• Alison Canino, MA

  • Professional Counselor
  • Cottage Grove, OR
  • NPI 1689053217
  NPD
• Andrew Lee Yoder, MSW

  • Clinical Social Worker
  • Cottage Grove, OR
  • NPI 1497067284
  NPD

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245757772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 BIRCH AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241416",
            "telephone_number": "541-942-3939",
            "fax_number": "541-942-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 BIRCH AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241416",
            "telephone_number": "541-942-3939",
            "fax_number": "541-942-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LANE MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MASTIN",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "QUALITY MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "541-767-4176",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OR",
            "license": "102491-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sol Transit Assisted Oregon Corp
• Jose Arnulfo Solis, D.O.
• Noeul Song
• South Lane Children'S Dental Clinic
• South Lane County Fire and Rescue
• South Lane Mental Health Services, Inc
• South Lane Physical Therapy LLC
• South Lane Wheels, Inc.
• Dana Marie Sparks
• Jennifer Leigh Sperry

• Substance Use Disorder Rehabilitation Clinic/Center in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• 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.