Individual provider Active NPI

George Harper Mecouch, D.O.

  • Psychiatry Physician
  • Sisters, OR
National Provider Identifier
1336212208
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO169850 Issued in OR
Practice address
220 S Ash St Ste 1
Sisters, OR 97759-1789
Phone
(541) 904-4030
Fax
(541) 904-4006
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 00001272 WA
Psychiatry Physician 2084P0800X DO169850 OR Primary

Addresses

Primary practice location

220 S Ash St Ste 1
Sisters, OR 97759-1789

Mailing address

220 S Ash St Ste 1
Sisters, OR 97759-1789
Phone (541) 904-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120522000703 WA Practitioner - Psychiatry 0749443281 Reassigns benefits to 1 organization
Practice locations: Vancouver, WA
I20200323003070 OR Practitioner - Psychiatry 0749443281 Practice locations: Sisters, OR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia River Mental Health ServicesGroup PAC ID 2860385309, 14 clinicians

Practice addresses (Care Compare)

6926 NE 4TH Plain Blvd
Vancouver, WA 98661-7254
Phone (360) 993-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
00001272WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia River Mental Health Services Single Specialty CurrentSince Jun 3, 2019 Accepting new patients
Chuck Weisser PHD PC Single Specialty Past Accepting new patients

Locations

6926 NE Fourth Plain Blvd
Vancouver, WA 98661
Phone (360) 695-3416

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1336212208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ASH ST STE 1",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591789",
            "telephone_number": "541-904-4030",
            "fax_number": "541-904-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S ASH ST STE 1",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591789",
            "telephone_number": "541-904-4030",
            "fax_number": "541-904-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECOUCH",
        "first_name": "GEORGE",
        "middle_name": "HARPER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "00001272",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO169850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

Verify at the official NPI Registry.