Columbia Community Mental Health

Organization Active NPI Mental Health Counselor · Saint Helens, OR

NPI 1922066463 · NPPES record last updated Oct 23, 2025

Key facts

NPI
1922066463
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
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
May 3, 2006
Organization subpart
No

Authorized official

Name
Todd Jacobson
Title
Executive Director
Phone
(503) 397-5211

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 11

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

Practitioners 17

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040423001154 OR Part B Supplier - Clinic/Group Practice 5395731392 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Saint Helens, OR

National Provider Directory

Tax ID family
Columbia Community Ment (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes
Cognitive & Behavioral Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TB0200X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X

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

IdentifierTypeStateIssuer
123190MedicaidOR

Other providers in Saint Helens, OR

All providers in Saint Helens, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.