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JASPER MOUNTAIN
NPI 1497821680
Community Based Residential Treatment Facility, Mental Illness in Jasper, OR

Active since November 28, 2006CLIA 38D2217199 · Waiver
37875 JASPER LOWELL RD, JASPER, OR 97438(541) 747-1235(541) 747-4722 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jasper Mountain NPPES

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

JASPER MOUNTAIN (NPI 1497821680) is a healthcare organization registered as a community based residential treatment facility, mental illness in Jasper, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Carita Chantel Lively, Compliance Specialist, as its authorized official.

NPPES Registry Identity

NPI1497821680
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameJASPER MOUNTAIN
Location Address37875 JASPER LOWELL RDJasper, OR 97438-9751
Mailing Address37875 Jasper Lowell RdJasper, OR 97438-9751 · (541) 747-1235 · Fax (541) 747-4722
Phone(541) 747-1235
Fax(541) 747-4722
Organization SubpartNo
Authorized OfficialCarita Chantel LivelyCompliance Specialist · (541) 747-1235
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1497821680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X
37875 JASPER LOWELL RD, Jasper, OR 97438
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Other Identifiers 2

Medicaid313495OR
Medicaid178087OR

CLIA Laboratory Certificates CMS CLIA

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 38D2217199

Jasper Mountain Center · Jasper, OR
Active · expires Mar 17, 2027
CLIA Number38D2217199
Laboratory TypeLong-Term Care Facility
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorBeau D. Garner
Laboratory Phone(541) 747-1235
Laboratory LocationJasper Mountain Center37875 Jasper-Lowell Rd, Jasper, OR 97438
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. JULIE ENGEL B.A., QMHA
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
SARA JANE BELLAMY BS
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
TORIANA MAHAFFIE
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
KATRINA S WELCH
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
MS. TREVECCA WINTERS AAOT
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
MRS. JOYCE ZIEGLER B.A., QMHA
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
KATELYNN SALLEE
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235
MIKA MAII
Counselor (Mental Health)
37875 JASPER LOWELL RD
JASPER, OR 97438
Lane County (541) 747-1235

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 Jasper Mountain's NPI number?

The NPI number for Jasper Mountain is 1497821680. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Jasper Mountain located?

Jasper Mountain is located at 37875 Jasper Lowell Rd, Jasper, OR 97438. The listed phone number is (541) 747-1235.

What is Jasper Mountain's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Jasper Mountain hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2217199) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jasper Mountain was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.