Grace William Health Systems

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE WILLIAM HEALTH SYSTEMS

Practice address

714 Main Street
Suite #200
Klamath Falls, OR 97601-6074

Phone

(541) 880-6031

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Olaoluwasupo Ojo, DOLNPI 1164290946

Title

Executive Director

Phone

(443) 865-6503

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 8

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

• Nimota R Bello, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1841766318

  OR

  Medicare reassignment NPD
• Olaoluwasupo T Ojo

  • Mental Health Counselor
  • Klamath Falls, OR
  • NPI 1164290946
  NPD Authorized official
• Bernice Agyeiwaa Essien, CT

  • Mental Health Counselor
  • Klamath Falls, OR
  • NPI 1114777612
  NPD
• Olawale Akinleye Folarin, PHD, MSC., QMHP

  • Counseling Psychologist
  • Klamath Falls, OR
  • NPI 1578246427
  NPD
• Folajaiye Mukhtar Kareem, QMHP

  • Counseling Psychologist
  • Klamath Falls, OR
  • NPI 1730862806
  NPD
• Jane Mary Owobu

  • Counseling Psychologist
  • Klamath Falls, OR
  • NPI 1386428738
  NPD
• Royal Joey Krahmer

  • Addiction (Substance Use Disorder) Counselor
  • Klamath Falls, OR
  • NPI 1336821412
  NPD (past)
• Molabo Oretade, QMHP-C

  • Mental Health Counselor
  • Medford, OR
  • NPI 1114600046
  NPD (past)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1659944783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MAIN STREET",
            "address_2": "SUITE #200",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016074",
            "telephone_number": "443-865-6503",
            "fax_number": "541-887-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN STREET",
            "address_2": "SUITE #200",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016074",
            "telephone_number": "541-880-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WILLIAM HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "OLAOLUWASUPO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-865-6503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOL"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500805936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geri Goodrich
• Laurie Kay Goolsby, RPH
• Meghan Rae Gorbett, CMA
• Joshua Vaughn Gossman, M.S.
• Tiffiny Michelle Gour
• Graham Pediatric Clinic, LLC
• Barbara Graham
• Teresa Roleen Graham, MD
• Tracy Warwick Graham, MD
• Elise Rose Granath, PA-C, MPH

• Community/Behavioral Health Agency in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.