Columbia Community Mental Health
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Saint Helens, OR
NPI 1861617359 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1861617359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- COLUMBIA COMMUNITY MENTAL HEALTH
- Practice address
- 58646 McNulty Way
Saint Helens, OR 97051-6210 - Phone
- (503) 397-5211
- Fax
- (503) 397-5373
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Todd Jacobson
- Title
- Executive Director
- Phone
- (503) 397-5211
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 11
Practitioners 65
-
Rebecca Helen Jenkins, M.S.W
-
Daniel D. Jewell, LPC
-
Diana B. Latorre, LCSW
-
Dawn Rene Lotti, B.S., NCAC1
-
Jeanne Marie May, LCSW
-
Carolyn Dohrmann Morris, PMHNP
-
Linda Marie Paoluccio, LPC, QMHP
-
Megan Kimberley Pena, MA, MSW
-
Erin D Sexton-Sayler, APRN
-
Madeline R G Smith, LPC, QMHP, CADC-I
-
Alexandria Cook, ARNP
-
Sarah Elizabeth Devilbiss, MSN, PMHNP-BC, CRNP
-
Sydney Kiker, PMHNP-BC
-
Justine Irene Zembsch, LCSW
-
Lynette Nan Alber, RN, PMHNP-BC
-
Candy Applebee, QMHA
-
Lisa Ellen Lewis Cavallo, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423001154 | OR | Part B Supplier - Clinic/Group Practice | 5395731392 |
Receives reassigned benefits from 16 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Helens, OR |
National Provider Directory
- Tax ID family
- Columbia Community Ment
Locations
105 S 3rd St
Saint Helens, OR 97051
Phone (503) 397-6900
58646 McNulty Way
Saint Helens, OR 97051
Phone (503) 397-0391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
58646 McNulty Way
Saint Helens, OR 97051-6210
Mailing address
58646 McNulty Way
Saint Helens, OR 97051-6210
Phone (503) 397-5211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195164 | Medicaid | OR |
Other providers in Saint Helens, OR
- Columbia Community Mental Health
- Columbia Community Mental Health
- Columbia Community Mental Health
- Columbia Community Mental Health
- Columbia Community Mental Health
- Columbia Community Mental Health
- Columbia County Child Abuse Assessment Center
- Columbia County SD #502
- Columbia Family Vision Care LLC
- Columbia Health Services
All providers in Saint Helens, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.