NPIMap

Organization Active NPI

Family Connects Oregon

  • Public Health or Welfare Agency
  • Dallas, OR
National Provider Identifier
1881401735
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FAMILY CONNECTS OREGON
Practice address
182 SW Academy St
Dallas, OR 97338-1996
Phone
(503) 623-8175
Fax
(503) 831-3499
NPI assigned
Dec 13, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF POLKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Dr. Noelle K Carroll, PSY.DNPI 1285851444
Title
Health Services Director
Phone
(503) 623-9289

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
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

182 SW Academy St
Dallas, OR 97338-1996

Mailing address

182 SW Academy St
Dallas, OR 97338-1996
Phone (503) 623-9289

National Provider Directory

National Provider Directory
Tax ID family
Polk County Mental HLTH11 organizations share this tax ID, including this one
Part of
Polk County Mental HLTH

Other organizations with this tax ID 10

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

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": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1881401735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289",
            "fax_number": "503-623-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-8175",
            "fax_number": "503-831-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTS OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF POLK",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "503-623-9289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.