NPIMap

Organization Active NPI

Oregon Mental Health SVS

  • Adolescent and Children Mental Health Clinic/Center
  • Oregon, WI
National Provider Identifier
1508940370
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
OREGON MENTAL HEALTH SVS
Practice address
602 Pleasant Oak Dr
Oregon, WI 53575
Phone
(608) 835-5050
Fax
(608) 835-5050
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary Joan Sella, LCSWNPI 1649354416
Title
Clinical Social Worker/Clinic Owner
Phone
(608) 835-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

602 Pleasant Oak Dr
Oregon, WI 53575

Mailing address

602 Pleasant Oak Dr
Oregon, WI 53575
Phone (608) 835-5050

Other identifiers 2

IdentifierTypeStateIssuer
2513 CERTIFICATEOtherWIMENTAL HEALTH OUTPUT
42235500MedicaidWI

National Provider Directory

National Provider Directory

Locations

602 Pleasant Oak Dr
Oregon, WI 53575
Phone (608) 835-5050

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508940370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PLEASANT OAK DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "53575",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PLEASANT OAK DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "53575",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MENTAL HEALTH SVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SELLA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/CLINIC OWNER",
        "authorized_official_telephone_number": "608-835-5050",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH OUTPUT",
            "identifier": "2513 CERTIFICATE",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42235500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.