Organization Active NPI

Integrity Care Connection LLC

  • Adult Mental Health Clinic/Center
  • Clackamas, OR
National Provider Identifier
1992500474
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INTEGRITY CARE CONNECTION LLC
Practice address
9840 SE Amherst St
Clackamas, OR 97015-9168
Phone
(623) 326-0644
NPI assigned
Feb 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Erin Stark
Title
Sr RCM General Manager
Phone
(317) 225-0489

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

9840 SE Amherst St
Clackamas, OR 97015-9168

Mailing address

5160 W Saint John Rd
Glendale, AZ 85308-5370
Phone (623) 326-0644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1992500474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 W SAINT JOHN RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085370",
            "telephone_number": "623-326-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 SE AMHERST ST",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159168",
            "telephone_number": "623-326-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY CARE CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SR RCM GENERAL MANAGER",
        "authorized_official_telephone_number": "317-225-0489"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.