COLUMBIACARE SERVICES INC
NPI 1861942096
Clinic/Center - Mental Health (Including Community Mental Health Center) in Medford, OR

Active since October 12, 2016CLIA 38D2149799 · Waiver
201 W 6TH ST, MEDFORD, OR 97501(541) 200-2900 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2019, Jun 9, 2017, Feb 6, 2017 and 1 more (4 updates tracked since 2016).

About Columbiacare Services Inc NPPES

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

COLUMBIACARE SERVICES INC (NPI 1861942096) is a healthcare organization registered as a mental health (including community mental health center) in Medford, Oregon and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through June 10, 2028, maintains a secondary practice location in Medford, and lists Mike David Sewitsky, Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1861942096
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOLUMBIACARE SERVICES INC
Location Address201 W 6TH STMedford, OR 97501-2708
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Organization SubpartNo
Authorized OfficialMike David SewitskyFinance Manager · (541) 858-8170
Enumeration DateOctober 12, 2016
Last NPPES UpdateJuly 16, 20194 updates tracked since enumeration
✔ NPI 1861942096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
201 W 6TH ST, Medford, OR 97501

Secondary Practice Location 1

Location 1100 E Main St Ste CMedford, OR 97501-6041 · Phone (541) 858-8170 · Fax (541) 858-8167

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)

Columbiacare Services Inc 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 Columbiacare Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker5
Mental Health Counselor4
Psychiatry1

Clinicians, nearest first (10)

Mental Health Counselor
NPI 1417563388
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOSSame address
Clinical Social Worker
NPI 1992194302
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1770227860
201 W 6TH ST
Medford, OR 97501
(541) 200-2900
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1043844327
670 SUPERIOR CT STE 103
Medford, OR 97504
(541) 414-4931
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Social Worker
NPI 1801127840
1224 N MODOC AVE UNIT 47
Medford, OR 97504
(970) 373-8276
✔ PECOS✔ Accepts Medicare2.2 mi
Psychiatry
NPI 1902003080
503 AIRPORT RD STE 101
Medford, OR 97504
(541) 200-2900
✔ PECOS✔ Accepts Medicare3.1 mi
Mental Health Counselor
NPI 1700500790
503 AIRPORT RD STE 101
Medford, OR 97504
(541) 200-2900
✔ PECOS3.1 mi
Mental Health Counselor
NPI 1689811879
95 ERICKSON AVE UNIT 95A
Shady Cove, OR 97539
(541) 630-4727
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1508428426
3880 SE 8TH AVE STE 180
Portland, OR 97202
(503) 545-6798
✔ PECOS✔ Accepts Medicare219 mi
Clinical Social Worker
NPI 1629328117
17640 NE HALSEY ST
Portland, OR 97230
(503) 489-5045
✔ PECOS222 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

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 38D2149799

Columbiacare Services Outpatient Clinic · Medford, OR
Active · expires Jun 10, 2028
CLIA Number38D2149799
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorRandi M. Gruessing
Laboratory Phone(541) 200-2900
Laboratory LocationColumbiacare Services Outpatient Clinic503 Airport Road, Suite 101, Medford, OR 97504
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 Columbiacare Services Inc's NPI number?

The NPI number for Columbiacare Services Inc is 1861942096. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is Columbiacare Services Inc located?

Columbiacare Services Inc is located at 201 W 6th St, Medford, OR 97501. The listed phone number is (541) 200-2900.

What is Columbiacare Services Inc'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 Columbiacare Services Inc enrolled in Medicare?

Yes. Columbiacare Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbiacare Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Columbiacare Services Inc. 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 (5), Mental Health Counselor (4) and Psychiatry (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Columbiacare Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2149799) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Columbiacare Services Inc accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Columbiacare Services Inc 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 Columbiacare Services Inc was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.