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POLK COUNTY MENTAL HEALTH
NPI 1457477333
Community/Behavioral Health in Dallas, OR

Active since March 22, 2007
182 SW ACADEMY ST, SUITE 304, DALLAS, OR 97338(503) 623-9289(503) 831-1726 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Polk County Mental Health NPPES

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

POLK COUNTY MENTAL HEALTH (NPI 1457477333) is a healthcare organization registered as a community/behavioral health in Dallas, Oregon and active in the NPI registry since March 2007. The organization lists David Manitsas, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1457477333
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePOLK COUNTY MENTAL HEALTH
Location Address182 SW ACADEMY ST, SUITE 304Dallas, OR 97338-1922
Mailing Address182 Sw Academy St, Suite 304Dallas, OR 97338-1922 · (503) 623-9289 · Fax (503) 831-1726
Phone(503) 623-9289
Fax(503) 831-1726
Organization SubpartNo
Authorized OfficialDavid ManitsasSupervisor · (503) 623-9289
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457477333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
182 SW ACADEMY ST, Dallas, OR 97338
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Polk County Mental Health's NPI number?

The NPI number for Polk County Mental Health is 1457477333. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Polk County Mental Health located?

Polk County Mental Health is located at 182 SW Academy St Suite 304, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Polk County Mental Health's specialty?

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

When was this NPI record last updated?

The NPPES record for Polk County Mental Health was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.