| Columbia Community Mental Health | |
|
58646 Mcnulty Way St Helens OR 97051-6210 | |
| (503) 397-5211 | |
| (503) 397-5373 |
| Full Name | Columbia Community Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 58646 Mcnulty Way, St Helens, Oregon |
| Authorized Official Name and Position | Todd Jacobson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5033975211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Community Mental Health Po Box 1234 St Helens OR 97051-8234 Ph: (503) 397-5211 | Columbia Community Mental Health 58646 Mcnulty Way St Helens OR 97051-6210 Ph: (503) 397-5211 |
| NPI Number | 1922066463 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 5395731392 |
|---|---|
| Medicare Enrollment ID | O20040423001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922066463 | NPI | - | NPPES |
| 123190 | Medicaid | OR |
| Provider Name | Carolyn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881705093 PECOS PAC ID: 5698720779 Enrollment ID: I20050322000559 |
| Provider Name | Jennifer J Reffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467523902 PECOS PAC ID: 4688828346 Enrollment ID: I20130204000572 |
| Provider Name | Rebecca Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467767046 PECOS PAC ID: 1456658400 Enrollment ID: I20160318001202 |
| Provider Name | Diana Latorre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679755094 PECOS PAC ID: 5991062838 Enrollment ID: I20171130000900 |
| Provider Name | Sydney Kiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083160618 PECOS PAC ID: 0648559146 Enrollment ID: I20191114000603 |
| Provider Name | Jeanne Marie May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073161113 PECOS PAC ID: 2769800077 Enrollment ID: I20200918001433 |
| Provider Name | Alexandria Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531371 PECOS PAC ID: 2365862133 Enrollment ID: I20201015002686 |
| Provider Name | Sarah Gilreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134485386 PECOS PAC ID: 7810151024 Enrollment ID: I20230302002187 |
| Provider Name | Emily Ruiz Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558846097 PECOS PAC ID: 6901253095 Enrollment ID: I20231110002138 |
| Provider Name | Madeline R G Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962911552 PECOS PAC ID: 7911340336 Enrollment ID: I20240213000701 |
| Provider Name | David T. Hsiao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588959431 PECOS PAC ID: 5496190407 Enrollment ID: I20240229002665 |