Jasper Mountain
Jasper Mountain is a healthcare organization registered as Mental Illness Community Based Residential Treatment Facility in Jasper, OR, holding Type 2 (organization) NPI 1497821680 since 2006. The authorized official on file is Carita Lively, Compliance Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497821680 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jasper Mountain |
| Practice address | 37875 JASPER LOWELL RD, Jasper, OR, 97438 |
| Phone | 5417471235 |
| Fax | 5417474722 |
| Enumeration date | 2006-11-28 |
| Last updated in NPPES | 2024-03-08 |
Authorized official
| Name | Carita Lively |
|---|---|
| Title | Compliance Specialist |
| Phone | 5417471235 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | Secondary | — | OR |
| 323P00000X | Psychiatric Residential Treatment Facility | Secondary | — | — |
| 385HR2055X | Child Mental Illness Respite Care | Secondary | — | OR |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Primary | — | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313495 | Medicaid | OR | — |
| 178087 | Medicaid | OR | — |
Copy-ready billing details
Provider: Jasper Mountain NPI: 1497821680 Taxonomy: 320800000X (Mental Illness Community Based Residential Treatment Facility) Address: 37875 JASPER LOWELL RD, Jasper, OR, 97438
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609076009 | David Ziegler | Individual | Counseling Psychologist | Jasper, OR |
| 1851581631 | Beau Garner | Individual | Marriage & Family Therapist | Jasper, OR |
| 1225228505 | Barbara Gentry | Individual | Child & Adolescent Psychiatric/Mental Health Registered Nurse | Jasper, OR |
| 1578754818 | Kiva Michels | Individual | Clinical Social Worker | Jasper, OR |
| 1174714596 | Patty Earl | Individual | Mental Health Counselor | Jasper, OR |
Verify this record
Cross-check NPI 1497821680 against the authoritative CMS record: view Jasper Mountain on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Jasper Mountain located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2024-03-08.