Walden Project, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WALDEN PROJECT, LLC

Practice address

3060 Highway 20
Newport, OR 97365-9519

Phone

(541) 992-3309

NPI assigned

May 29, 2023

Organization subpart

No

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

Authorized official

Name

Benjamin Williams, LPCNPI 1093035958

Title

Owner

Phone

(541) 992-3309

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Benjamin Williams, LPC

  • Mental Health Counselor
  • Newport, OR
  • NPI 1093035958
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1457044273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LEISURE LN",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973809620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 HIGHWAY 20",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973659519",
            "telephone_number": "541-992-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN PROJECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-992-3309",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B Villaescusa, CASE MGR, QMHA
• Jamelle Villareal
• Eric Viola, QMHA
• Sarah Jo Anne Vogel, RN
• Lesa Wagner, MTD
• Walgreen Co
• Liza Walker, LMT
• Casey Mast Wallner, RD, LD
• Walmart Inc.
• James Raymond Warren, B.S.

• Adolescent and Children Mental Health Clinic/Center in Newport, OR
• Providers in Newport, OR by specialty
• Adolescent and Children Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.