NPIMap

Organization Active NPI

Oregon Mental Health Services,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oregon, WI
National Provider Identifier
1801925433
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OREGON MENTAL HEALTH SERVICES,LLC
Practice address
165 W Netherwood St Ste a
Oregon, WI 53575-1107
Phone
(608) 835-5050
Fax
(608) 835-5010
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Mrs. Mary J Sella, LCSWNPI 1649354416
Title
Clinic Owner
Phone
(608) 835-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2513 WI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

165 W Netherwood St Ste a
Oregon, WI 53575-1107

Mailing address

165 W Netherwood St Ste a
Oregon, WI 53575-1107
Phone (608) 835-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000649 WI Part B Supplier - Clinic/Group Practice 0143393884 Receives reassigned benefits from 14 practitioners
Practice locations: Oregon, WI

National Provider Directory

National Provider Directory
Tax ID family
Oregon Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1102 N Bequette St
Dodgeville, WI 53533
Phone (608) 930-8181

165 W Netherwood St
Oregon, WI 53575
Phone (608) 408-9556

165 W Netherwood St
Ste A
Oregon, WI 53575
Phone (608) 835-5050

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1801925433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MENTAL HEALTH SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SELLA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "608-835-5050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2513",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.