NPIMap

Organization Active NPI

Lutheran Community Services NW

  • Community/Behavioral Health Agency
  • Lakeview, OR
National Provider Identifier
1528199338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUTHERAN COMMUNITY SERVICES NW
Practice address
526 Center St
Lakeview, OR 97630-1518
Phone
(541) 947-6021
Fax
(541) 947-6020
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Pickel
Title
Director
Phone
(541) 883-3471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

526 Center St
Lakeview, OR 97630-1518

Mailing address

526 Center St
Lakeview, OR 97630-1518
Phone (541) 947-6021

Other identifiers 2

IdentifierTypeStateIssuer
193896MedicaidOR
123195MedicaidOR

Other names 1

  • Lake County Mental Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Luthern Family Service17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

526 Center St
Lakeview, OR 97630

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528199338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 CENTER ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301518",
            "telephone_number": "541-947-6021",
            "fax_number": "541-947-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CENTER ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301518",
            "telephone_number": "541-947-6021",
            "fax_number": "541-947-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN COMMUNITY SERVICES NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICKEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-883-3471"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193896",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123195",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.