NPIMap

Organization Active NPI

Jasper Mountain

  • Adolescent and Children Mental Health Clinic/Center
  • Jasper, OR
National Provider Identifier
1891462784
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JASPER MOUNTAIN
Practice address
37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone
(541) 741-7402
NPI assigned
Aug 27, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Karen Mishler
Title
HR Assistant
Phone
(541) 747-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

37875 Jasper Lowell Rd
Jasper, OR 97438-9751

Mailing address

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone (541) 741-7402

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 218

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.

View all 218

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1891462784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37875 JASPER LOWELL RD",
            "city": "JASPER",
            "state": "OR",
            "postal_code": "974389751",
            "telephone_number": "541-741-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37875 JASPER LOWELL RD",
            "city": "JASPER",
            "state": "OR",
            "postal_code": "974389751",
            "telephone_number": "541-741-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER MOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "MISHLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "HR ASSISTANT",
        "authorized_official_telephone_number": "541-747-1235"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.