Active NPI
Mountain View Mental Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Medford, OR
National Provider Identifier
1568088060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MOUNTAIN VIEW MENTAL HEALTH LLC
- Practice address
- 33 N Central Ave Ste 409
Medford, OR 97501-5939 - Phone
- (541) 941-2028
- NPI assigned
- Jun 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melynda Owens
- Title
- Billing & Credentialing Manager
- Phone
- (541) 500-8655
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
33 N Central Ave Ste 409
Medford, OR 97501-5939
Mailing address
PO Box 4752
Medford, OR 97501-0197
Phone (541) 500-8655
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Medford, OR
- NPI 1700280336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596153600000",
"number": "1568088060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4752",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975010197",
"telephone_number": "541-500-8655",
"fax_number": "800-433-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 N CENTRAL AVE STE 409",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975015939",
"telephone_number": "541-941-2028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-19",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "MELYNDA",
"authorized_official_title_or_position": "BILLING & CREDENTIALING MANAGER",
"authorized_official_telephone_number": "541-500-8655"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"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": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.