Organization Active NPI

Community Counseling Solutions

Doing business as Juniper Ridge SRTF

  • Psychiatric Residential Treatment Facility
  • John Day, OR
National Provider Identifier
1720323835
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
COMMUNITY COUNSELING SOLUTIONS
Doing business as
Juniper Ridge SRTF
Practice address
194 Ford Road
John Day, OR 97845
Phone
(541) 575-0237
NPI assigned
Nov 29, 2012
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Kimberly L LindsayNPI 1285648501
Title
Executive Director
Phone
(541) 676-9161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

194 Ford Road
John Day, OR 97845

Mailing address

PO Box 469
Heppner, OR 97836-0469
Phone (541) 676-9161

Other names 1

  • Juniper Ridge SRTF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Solutions Dba Star16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1720323835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "HEPPNER",
            "state": "OR",
            "postal_code": "978360469",
            "telephone_number": "541-676-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 FORD ROAD",
            "city": "JOHN DAY",
            "state": "OR",
            "postal_code": "97845",
            "telephone_number": "541-575-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-676-9161"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Ridge SRTF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in John Day, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.