JASPER MOUNTAIN – NPI #1497821680
Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
JASPER MOUNTAIN is a community based residential treatment facility located in JASPER, OR. NPPES has assigned the NPI number 1497821680 to JASPER MOUNTAIN on November 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.
The NPI profile was previously updated about 2 years ago on Mar 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JASPER MOUNTAIN below.
NPI Profile for
JASPER MOUNTAIN
(more than 19 years ago)
JASPER, OR 97438-9751 Phone: (541) 747-1235 Fax: (541) 747-4722
COMPLIANCE SPECIALIST
Phone: (541) 747-1235
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for JASPER MOUNTAIN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | OR | 178087 | |
| medicaid | OR | 313495 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320800000X - Community Based Residential Treatment Facility, Mental Illness (Primary) |
OR | |
| 385HR2055X - Respite Care / Respite Care, Mental Illness, Child |
OR | |
| 323P00000X - Psychiatric Residential Treatment Facility |
||
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children |
OR |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.