Active NPI
Youth Rising
- Community/Behavioral Health Agency
- Klamath Falls, OR
National Provider Identifier
1346092988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- YOUTH RISING
- Practice address
- 700 Klamath Ave
Klamath Falls, OR 97601-6199 - Phone
- (540) 494-2048
- NPI assigned
- Apr 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Matthew Ceglowski, CERT. MGMT ACCOUNT.
- Title
- Chief Financial Officer & VP of HR
- Phone
- (540) 494-2048
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
700 Klamath Ave
Klamath Falls, OR 97601-6199
Mailing address
161 W University Pkwy # Po10461
Jackson, TN 38305-1857
Phone (540) 494-2048
National Provider Directory
National Provider DirectoryLocations
700 Klamath Ave
Klamath Falls, OR 97601
Phone (540) 494-2048
161 W University Pkwy
Jackson, TN 38305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712275200000",
"number": "1346092988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 W UNIVERSITY PKWY # PO10461",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051857",
"telephone_number": "540-494-2048",
"fax_number": "877-920-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 KLAMATH AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016199",
"telephone_number": "540-494-2048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH RISING",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-05",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A",
"authorized_official_last_name": "CEGLOWSKI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER & VP OF HR",
"authorized_official_telephone_number": "540-494-2048",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CERT. MGMT ACCOUNT."
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.