KLAMATH CHILD AND FAMILY TREATMENT CENTER
NPI 1992949796
Community Based Residential Treatment Facility, Mental Illness in Klamath Falls, OR

Active since April 23, 2009
705 WASHBURN WAY, KLAMATH FALLS, OR 97603(541) 883-1030 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Klamath Child And Family Treatment Center NPPES

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

KLAMATH CHILD AND FAMILY TREATMENT CENTER (NPI 1992949796), doing business as Phoenix Place, is a healthcare organization registered as a community based residential treatment facility, mental illness in Klamath Falls, Oregon and active in the NPI registry since April 2009. The organization maintains a secondary practice location in Klamath Falls and lists Elizabeth Maddalena, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1992949796
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameKLAMATH CHILD AND FAMILY TREATMENT CENTER
Location Address705 WASHBURN WAYKlamath Falls, OR 97603-3648
Mailing Address2210 N Eldorado AveKlamath Falls, OR 97601-6418 · (541) 883-1030 · Fax (541) 884-2338
Organization SubpartYesParent: Klamath Behavorial Health And Wellness
Authorized OfficialElizabeth MaddalenaDirector Of Operations · (541) 883-1030
Enumeration DateApril 23, 2009
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1992949796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
705 WASHBURN WAY, Klamath Falls, OR 97603

Other Names 1

Doing Business AsPhoenix Place

Secondary Practice Location 1

Location 11824 Vine AveKlamath Falls, OR 97601-3362 · Phone (541) 883-1030

Other Identifiers 1

Medicaid500500017OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Klamath Child And Family Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Klamath Child And Family Treatment Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 16 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Mental Health Counselor9
Nurse Practitioner5
Clinical Social Worker2
Marriage and Family Therapist2
Psychiatry1

Clinicians, nearest first (19)

Clinical Social Worker
NPI 1366828170
725 WASHBURN WAY
Klamath Falls, OR 97603
(541) 838-1030
✔ PECOSSame address
Nurse Practitioner
NPI 1730481243
725 WASHBURN WAY
Klamath Falls, OR 97603
(541) 883-1030
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1295111870
905 MAIN ST STE 502
Klamath Falls, OR 97601
(554) 331-0596
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1558073858
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Clinical Social Worker
NPI 1083695142
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Mental Health Counselor
NPI 1598066557
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS2.3 mi
Mental Health Counselor
NPI 1831560929
2210 N ELDORADO AVE BOX
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Mental Health Counselor
NPI 1184926586
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS2.3 mi
Mental Health Counselor
NPI 1497003172
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Mental Health Counselor
NPI 1740505684
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Mental Health Counselor
NPI 1235362153
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Marriage and Family Therapist
NPI 1699976407
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1134644909
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Marriage and Family Therapist
NPI 1295002293
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS2.3 mi
Mental Health Counselor
NPI 1750428637
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Mental Health Counselor
NPI 1043415730
2210 N ELDORADO AVE
Klamath Falls, OR 97601
(541) 883-1030
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1649909086
2849 E 3025 N
Layton, UT 84040
(541) 880-6485
✔ PECOS✔ Accepts Medicare514 mi
Nurse Practitioner
NPI 1255588737
1790 N STATE ST
Orem, UT 84057
(888) 224-8250
✔ PECOS✔ Accepts Medicare539 mi
Psychiatry
NPI 1104085364
2405 KALANIANAOLE AVE PH 3
Hilo, HI 96720
(808) 315-6595
✔ PECOS2,482 mi

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 Klamath Child And Family Treatment Center's NPI number?

The NPI number for Klamath Child And Family Treatment Center is 1992949796. It was assigned to this organization in the NPPES registry on April 23, 2009. The provider is doing business as Phoenix Place.

Where is Klamath Child And Family Treatment Center located?

Klamath Child And Family Treatment Center is located at 705 Washburn Way, Klamath Falls, OR 97603. The listed phone number is (541) 883-1030.

What is Klamath Child And Family Treatment Center's specialty?

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

Is Klamath Child And Family Treatment Center enrolled in Medicare?

Yes. Klamath Child And Family Treatment Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Klamath Child And Family Treatment Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Klamath Child And Family Treatment Center. 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 Mental Health Counselor (9), Nurse Practitioner (5) and Clinical Social Worker (2). Of these, 2 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Klamath Child And Family Treatment Center was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.