Stonewall Behavioral Health & Mental Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STONEWALL BEHAVIORAL HEALTH & MENTAL WELLNESS

Doing business as

Stonewall Behavioral Health and Mental Wellness

Practice address

826 SE 10TH St
Pendleton, OR 97801-3246

Phone

(541) 539-3214

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Nathan T Smith, LCSWNPI 1194349472

Title

Owner

Phone

(765) 354-8410

Specialties & licenses 1

Addresses

Other names 1

• Stonewall Behavioral Health and Mental Wellness Doing business as

Practitioners 1

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

• Nathan T Smith, LCSW

  • Clinical Social Worker
  • Pendleton, OR
  • NPI 1194349472
  NPD Authorized official

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1316781735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 SE 10TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013246",
            "telephone_number": "765-354-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 SE 10TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013246",
            "telephone_number": "541-539-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEWALL BEHAVIORAL HEALTH & MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-354-8410",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonewall Behavioral Health and Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen E Stein, DO
• Jenna Stensrud
• Steven L. Neal, MD, Facs, Inc.
• Jennah Shae Stobie, PA-C
• Stonewall Behavioral Health
• Mariah B Story, CADC I
• Sheffie Dan Surber Jr., LPN
• Cheryl Swales, QMHA
• Dawn Swan
• Francis E Szumski, DO

• Community/Behavioral Health Agency in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.