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WALLOWA VALLEY CENTER FOR WELLNESS
NPI 1043249907
Community/Behavioral Health in Enterprise, OR

Active since July 02, 2006CLIA Certified · 2 labs
606 MEDICAL PKWY, ENTERPRISE, OR 97828(541) 426-4524(541) 426-3035 Get Directions Write a Review

NPPES record last updated: November 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wallowa Valley Center For Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLOWA VALLEY CENTER FOR WELLNESS (NPI 1043249907) is a healthcare organization registered as a community/behavioral health in Enterprise, Oregon and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Jim Nave, Board Chair, as its authorized official.

NPPES Registry Identity

NPI1043249907
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWALLOWA VALLEY CENTER FOR WELLNESS
Location Address606 MEDICAL PKWYEnterprise, OR 97828-5140
Mailing AddressPo Box 268Enterprise, OR 97828-0268 · (541) 426-4524 · Fax (541) 426-3035
Phone(541) 426-4524
Fax(541) 426-3035
Organization SubpartNo
Authorized OfficialJim NaveBoard Chair · (541) 426-4524
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 3, 2024
NPPES CertifiedNovember 3, 2024
✔ NPI 1043249907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
606 MEDICAL PKWY, Enterprise, OR 97828
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallowa Valley Center For Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Wallowa Valley Center For Wellness, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker6
Psychiatry2
Mental Health Counselor1
Nurse Practitioner1

Clinicians, nearest first (10)

Geunia Funches
Clinical Social Worker
NPI 1891233409
606 MEDICAL PARKWAY
Enterprise, OR 97828
(541) 426-4524
✔ PECOS✔ Accepts MedicareSame address
Vanessa Lewis
Mental Health Counselor
NPI 1083197735
606 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4524
✔ PECOSSame address
Jacqueline Russell, PMHNP-BC
Nurse Practitioner
NPI 1720673577
606 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4524
✔ PECOSSame address
Ebony Shorts, LCSW
Clinical Social Worker
NPI 1861274540
606 MEDICAL PKWY
Enterprise, OR 97828
(541) 426-4524
✔ PECOS✔ Accepts MedicareSame address
Charles Strickland, MSW, LCSW, LCAS, CCS
Clinical Social Worker
NPI 1124340302
606 MEDICAL PKWY
Enterprise, OR 97828
(542) 426-4524
✔ PECOSSame address
Dolores Beck, LCSW
Clinical Social Worker
NPI 1780040022
207 SW 1ST STREET
Enterprise, OR 97828
(541) 426-4524
✔ PECOS✔ Accepts Medicare0.6 mi
Sandra Catlin, LCSW
Clinical Social Worker
NPI 1669804837
103 N MAIN ST UNIT 3
Joseph, OR 97846
(541) 263-5577
✔ PECOS✔ Accepts Medicare6.1 mi
Mollie Cudmore, MSW
Clinical Social Worker
NPI 1427499656
62606 HURRICANE CREEK RD
Joseph, OR 97846
(541) 805-1606
✔ PECOS✔ Accepts Medicare6.2 mi
Joshua Boverman, MD
Psychiatry
NPI 1619064664
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 494-6176
✔ PECOS✔ Accepts Medicare263 mi
Laurence Colman, MD GENERAL SURGEON
Psychiatry
NPI 1225106032
2386 NW HOYT ST
Portland, OR 97210
(503) 228-5909
✔ PECOS263 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2339499

Wallowa Valley Center For Wellness - H4h · Enterprise, OR
Active · expires Mar 2, 2028
CLIA Number38D2339499
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorRanzie M. Barney
Laboratory Phone(541) 426-5424
Laboratory LocationWallowa Valley Center For Wellness - H4h606 Medical Parkway, Enterprise, OR 97828
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2118597

Wallowa Valley Center For Wellness Annex · Enterprise, OR
Active · expires Sep 11, 2028
CLIA Number38D2118597
Laboratory TypeResidential Trtmnt
Certificate Effective DateSeptember 12, 2026
Certificate Expiration DateSeptember 11, 2028
Laboratory DirectorRanzie Barney
Laboratory Phone(541) 426-4524
Laboratory LocationWallowa Valley Center For Wellness Annex301 W Main Street, Enterprise, OR 97828
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallowa Valley Center For Wellness's NPI number?

The NPI number for Wallowa Valley Center For Wellness is 1043249907. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Wallowa Valley Center For Wellness located?

Wallowa Valley Center For Wellness is located at 606 Medical Pkwy, Enterprise, OR 97828. The listed phone number is (541) 426-4524.

What is Wallowa Valley Center For Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Wallowa Valley Center For Wellness enrolled in Medicare?

Yes. Wallowa Valley Center For Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wallowa Valley Center For Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Wallowa Valley Center For Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6), Psychiatry (2) and Mental Health Counselor (1). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wallowa Valley Center For Wellness hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wallowa Valley Center For Wellness accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Wallowa Valley Center For Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wallowa Valley Center For Wellness was last updated on November 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.