SECOND WIND MENTAL HEALTH CLINIC
NPI 1679957708
Clinic/Center - Mental Health (Including Community Mental Health Center) in Winston, OR
About Second Wind Mental Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SECOND WIND MENTAL HEALTH CLINIC (NPI 1679957708) is a healthcare organization registered as a mental health (including community mental health center) in Winston, Oregon and active in the NPI registry since July 2015. The organization lists Tamara Lee, Single Member Llc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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)
Second Wind Mental Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Second Wind Mental Health Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Second Wind Mental Health Clinic's NPI number?
The NPI number for Second Wind Mental Health Clinic is 1679957708. It was assigned to this organization in the NPPES registry on July 18, 2015.
Where is Second Wind Mental Health Clinic located?
Second Wind Mental Health Clinic is located at 11 SW Brantley Drive, Winston, OR 97496. The listed phone number is (541) 679-0366.
What is Second Wind Mental Health Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Second Wind Mental Health Clinic enrolled in Medicare?
Yes. Second Wind Mental Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Second Wind Mental Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Second Wind Mental Health Clinic. 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 Nurse Practitioner (5), Clinical Social Worker (2) and Mental Health Counselor (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Second Wind Mental Health Clinic accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Second Wind Mental Health Clinic 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 Second Wind Mental Health Clinic was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Second Wind Mental Health Clinic · NPI 1679957708
Mental Health (Including Community Mental Health Center) organization in Winston, Oregon. Organization record, active in the CMS NPPES registry since July 18, 2015.
## Identity
- **NPI:** 1679957708 (Entity type: Organization)
- **Enumerated:** July 18, 2015
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Tamara Lee, SINGLE MEMBER LLC
## Practice location
- **Address:** 11 SW BRANTLEY DRIVE, Winston, OR 97496
- **Phone:** (541) 679-0366 · **Fax:** (541) 679-4821
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Social Worker (2), Mental Health Counselor (1); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2015
- **Other identifiers:** Medicare UPIN R138522 (OR); Medicaid 363LP0808X (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1679957708) · Data from the CMS NPPES public registry.