NPIMap

Organization Active NPI

Community Counseling Solutions

Doing business as Grant County Health Department

  • Rural Health Clinic/Center
  • John Day, OR
National Provider Identifier
1487992665
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COMMUNITY COUNSELING SOLUTIONS
Doing business as
Grant County Health Department
Practice address
528 E Main St
Suite E
John Day, OR 97845-1289
Phone
(541) 575-0429
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Mrs. Kimberly L LindsayNPI 1285648501
Title
Executive Director
Phone
(541) 676-9161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

528 E Main St
Suite E
John Day, OR 97845-1289

Mailing address

PO Box 469
Heppner, OR 97836-0469
Phone (541) 575-0429

Other names 1

  • Grant County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131017001855 OR Part A Provider - Rural Health Clinic 0446484885 Practice locations: John Day, OR
O20150825005568 OR Part B Supplier - Clinic/Group Practice 0446484885 Receives reassigned benefits from 48 practitioners
1 other NPI on this enrollment
Practice locations: Arlington, OR; Boardman, OR; Condon, OR; Fossil, OR; Heppner, OR; John Day, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487992665. Details of each certification follow.

Rural health clinic certification: CCN 383848

Legal name
COMMUNITY COUNSELING SOLUTIONS
Doing business as
GRANT COUNTY HEALTH DEPARTMENT
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 12, 2004
Last certification
Sep 25, 2024
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2013 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 2, 2005 in OR
Enrollment address
528 East Main St
Suite E
John Day, OR 97845-1289

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Solutions Dba Star16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

104 SW Kinkade Rd
Boardman, OR 97818
Phone (541) 481-2911

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

911 S Canyon Blvd
John Day, OR 97845

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Lemmon Individual Corporate Officer Jan 1, 2013
Michael Carroll Individual Corporate Officer Jan 1, 2013
Dawn Marie Greisen Individual Operational/Managerial ControlDelegated Official Nov 16, 2021
Carol Macinnes Individual Corporate Officer Jan 1, 2013
Tiah Devin Individual Corporate Officer Jan 1, 2013
Robert J Houser Individual Corporate Officer Jan 1, 2013
Maryann Elquezabal Individual Corporate Officer Jan 1, 2013
Mark Webb Individual Corporate Officer Jan 1, 2013
Teresa Greenfield Individual Corporate Officer Jan 1, 2013
Amy Kollman Individual Corporate Officer Jan 1, 2013
Kimberly Lindsay Individual Operational/Managerial Control Jan 3, 2022

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1487992665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978360469",
            "telephone_number": "541-575-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E MAIN ST",
            "address_2": "SUITE E",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "978451289",
            "telephone_number": "541-575-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-676-9161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in John Day, OR

Sources for this page

Verify at the official NPI Registry.