Monarch Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MONARCH MENTAL HEALTH LLC

Practice address

320 Central Ave Ste 212
Coos Bay, OR 97420-2241

Phone

(401) 217-9333

Fax

(541) 543-2470

NPI assigned

Apr 28, 2020

Last updated

Oct 24, 2023By 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

Jenny V Tausch, PMHNP-BCNPI 1023649605

Title

Owner

Phone

(401) 217-9333

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny V Tausch, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1023649605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1447871678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 212",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "401-217-9333",
            "fax_number": "541-543-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 212",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "401-217-9333",
            "fax_number": "541-543-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "TAUSCH",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-217-9333",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1023649605",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500777651",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1927 Channel St",
            "city": "North Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974591826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michaela Leigh Miller
• Samuel Albert Miller, DPT
• Dorannlyn Mills
• Eric Mohrbacher, OT
• Kevin H Molteni, M.D.
• Sharon Elaine Monsivais, M.D.
• David Montes
• Sonimarie H Montgomery
• Leslie Montoro, M.S., SLP
• Kathryn Kolb Moon, M.S.N., F.N.P-BC

• Psychiatric/Mental Health Nurse Practitioner in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.