Gathered & Wise LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L6179 Issued in OR

Legal business name

GATHERED & WISE LLC

Practice address

112 E Burnett St
Stayton, OR 97383-1704

Phone

(541) 704-7511

Fax

(541) 325-4082

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Elise Pomme, LCSW, PMH-CNPI 1497958078

Title

Owner/Clinical Director

Phone

(541) 704-7511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holly Pomme MSW LCSW Former legal business name

Locations

Practitioners 4

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

• Holly Elise Pomme, MSW, LCSW

  • Clinical Social Worker
  • Stayton, OR
  • NPI 1497958078
  NPD (past) Authorized official
• Anna Norman

  • Clinical Social Worker
  • Salem, OR
  • NPI 1265055800
  NPD
• Chelsea Kay Campbell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Corvallis, OR
  • NPI 1871926881
  NPD (past)
• Joanna L Crawford, LPC

  • Professional Counselor
  • Stayton, OR
  • NPI 1225231806
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1669830865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E BURNETT ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "541-704-7511",
            "fax_number": "541-325-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E BURNETT ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "541-704-7511",
            "fax_number": "541-325-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERED & WISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "POMME",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "541-704-7511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L6179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500797440",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Pomme MSW LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Foster, MD
• James A Frank, MD
• Christopher Fu, RD, LDN
• Yasuyuki Fukuto, DMD
• Scott Demar Gale
• Mary Margaret Gescher
• Amanda Gildersleeve, NP-C
• Fred Frank Girod, DMD
• Allison Leach Gladney, CLC
• Amelia Glazier, MD

• Community/Behavioral Health Agency in Stayton, OR
• Providers in Stayton, 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 Dec 14, 2023; 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.