NPIMap

Organization Active NPI

Coastal Center for Collaborative Health

  • Community/Behavioral Health Agency
  • Corvallis, OR
National Provider Identifier
1902259823
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
T1160 Issued in OR
Legal business name
COASTAL CENTER FOR COLLABORATIVE HEALTH
Practice address
923 NW Grant Ave
Corvallis, OR 97330-4503
Phone
(541) 557-1892
NPI assigned
Jul 15, 2016
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Julie Ramisch, PH.D.NPI 1265662134
Title
LMFT, Owner
Phone
(541) 557-1892

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X T1160 OR Primary

Addresses

Primary practice location

923 NW Grant Ave
Corvallis, OR 97330-4503

Mailing address

PO Box 2298
Corvallis, OR 97339-2298
Phone (805) 570-4160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240410003816 OR Part B Supplier - Clinic/Group Practice 7810335767 Receives reassigned benefits from 5 practitioners
Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory

Locations

260 SW Madison Ave
Ste 107
Corvallis, OR 97333
Phone (541) 557-1892

923 NW Grant Ave
Corvallis, OR 97330
Phone (541) 313-5847

2604 NE Highway 101
Ste B
Lincoln City, OR 97367

412 SE Highway 101
Lincoln City, OR 97367
Phone (541) 557-1892

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1902259823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2298",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392298",
            "telephone_number": "805-570-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 NW GRANT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304503",
            "telephone_number": "541-557-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CENTER FOR COLLABORATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "RAMISCH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "LMFT, OWNER",
        "authorized_official_telephone_number": "541-557-1892",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "T1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.