Mountain Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOUNTAIN WELLNESS LLC

Practice address

855 SE Mosher Ave
Roseburg, OR 97470-3961

Phone

(541) 530-8350

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Elaine Barrows, MSW, LCSWNPI 1447623376

Title

Organizer

Phone

(541) 530-8350

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Amber Barrows, MSW, CSWA

  • Clinical Social Worker
  • Roseburg, OR
  • NPI 1447623376
  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1982279808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NE WINCHESTER ST",
            "address_2": "PMB 18A",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703256",
            "telephone_number": "541-530-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SE MOSHER AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703961",
            "telephone_number": "541-530-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "BARROWS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "541-530-8350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amberb@therapysecure.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "855 SE Mosher Ave",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974703961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla M Morton
• Joanna Lorene Moss, PSYD
• Robert Edward Moss, M.D.
• Razmia Mostafavi, PHARMD
• Motivational Parent
• Mountain West Derm - Blackhart PLLC
• Rebecca Irene Moyer, OTR/L
• Sarah Jane Moyer, RN, BSN
• Ashley M Mozingo
• Marilyn Mull, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.