Blue Mountain Health Cooperative

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLUE MOUNTAIN HEALTH COOPERATIVE

Practice address

2330 Eastgate St Ste 105
Walla Walla, WA 99362-1559

Phone

(509) 973-5788

NPI assigned

Oct 22, 2020

Last updated

Jul 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alayna Brinton, LICSW

Title

Director

Phone

(509) 840-4618

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1245839919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 CHISHOLM CT",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993629266",
            "telephone_number": "509-840-4618",
            "fax_number": "509-769-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 EASTGATE ST STE 105",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621559",
            "telephone_number": "509-973-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624118",
            "country_code": "US",
            "telephone_number": "509-973-5788",
            "fax_number": "509-593-4366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE MOUNTAIN HEALTH COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "BRINTON",
        "authorized_official_first_name": "ALAYNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-840-4618",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168971",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Blood
• Roger K Blood
• Blue Mountain Action Council
• Blue Mountain Eye PLLC (Lifestyle Eye Center)
• Blue Mountain Genetics Clinic, PLLC
• Blue Mountain Heart to Heart
• Blue Mountain Industries LLC (Blue Mountain Industries)
• Blue Mountain Medical Goup, PLLC
• Blue Mountain Midwifery & Women's Health Care
• Blue MTN Orthopaedics

• Mental Health Clinic/Center (Including Community Mental Health Center) in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.