Organization Active NPI

Youth Rising

  • Community/Behavioral Health Agency
  • Klamath Falls, OR
National Provider Identifier
1346092988
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Apr 5, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.