| Lifeways, Inc | |
|
702 Sunset Dr Ontario OR 97914-3121 | |
| (541) 889-9167 | |
| (541) 889-7873 |
| Full Name | Lifeways, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 702 Sunset Dr, Ontario, Oregon |
| Authorized Official Name and Position | Steve Jensen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5418899167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeways, Inc 702 Sunset Dr Ontario OR 97914-3121 Ph: (541) 889-9167 | Lifeways, Inc 702 Sunset Dr Ontario OR 97914-3121 Ph: (541) 889-9167 |
| NPI Number | 1568558955 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 4183696214 |
|---|---|
| Medicare Enrollment ID | O20040810000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568558955 | NPI | - | NPPES |
| 069053000 | Other | OR | BLUE CROSS |
| 226944 | Medicaid | OR | |
| 100426 | Medicaid | OR | |
| 165864 | Medicaid | OR | |
| 500649011 | Medicaid | OR |
| Provider Name | Sarah S Hsu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750462917 PECOS PAC ID: 7113942186 Enrollment ID: I20051008000207 |
| Provider Name | Timothy L Koberlein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235551011 PECOS PAC ID: 9436389152 Enrollment ID: I20140225001724 |
| Provider Name | Janet M Tooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962767558 PECOS PAC ID: 8527362961 Enrollment ID: I20160718002209 |
| Provider Name | Ron J Vanausdal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275956880 PECOS PAC ID: 0446559710 Enrollment ID: I20160819001997 |
| Provider Name | Randi R Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437530656 PECOS PAC ID: 8921314840 Enrollment ID: I20180124003145 |
| Provider Name | Jennifer Cori John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891102125 PECOS PAC ID: 6800146143 Enrollment ID: I20180906001504 |
| Provider Name | Kiersten Hackley Hogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821566316 PECOS PAC ID: 4486981826 Enrollment ID: I20190808001201 |
| Provider Name | Donna New |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457581621 PECOS PAC ID: 0547670507 Enrollment ID: I20201102002075 |
| Provider Name | Michael Joe Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710011697 PECOS PAC ID: 9335556166 Enrollment ID: I20210323002651 |
| Provider Name | Tamara Helfer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962663633 PECOS PAC ID: 8628211810 Enrollment ID: I20210601001020 |
| Provider Name | Roberto Negron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932139961 PECOS PAC ID: 1850342494 Enrollment ID: I20210714003554 |
| Provider Name | Sarah Reece |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801280896 PECOS PAC ID: 5698178861 Enrollment ID: I20210726001921 |
| Provider Name | Georgina L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194208900 PECOS PAC ID: 9133464118 Enrollment ID: I20210910001374 |
| Provider Name | Misti Newson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295400422 PECOS PAC ID: 9537558564 Enrollment ID: I20211115000040 |
| Provider Name | Bonnie Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407202559 PECOS PAC ID: 9537547666 Enrollment ID: I20220602000635 |
| Provider Name | Joshua Strole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487154589 PECOS PAC ID: 9234532342 Enrollment ID: I20221013000418 |
| Provider Name | Emily Renee Wittenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720797657 PECOS PAC ID: 1951771393 Enrollment ID: I20230508000390 |
| Provider Name | Deanna Lorraine Branscomb |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1306316070 PECOS PAC ID: 4486005402 Enrollment ID: I20240103004707 |
| Provider Name | Pamela J Cady |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1356619522 PECOS PAC ID: 5597116459 Enrollment ID: I20240104004786 |
| Provider Name | Nancy Ignacia Longoria |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376945089 PECOS PAC ID: 9436501335 Enrollment ID: I20240116003718 |
| Provider Name | Mary J Payne |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1225585003 PECOS PAC ID: 5799136032 Enrollment ID: I20240119003214 |
| Provider Name | Lindsay Michelle Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143762 PECOS PAC ID: 2668816729 Enrollment ID: I20240216000137 |
Safe Haven Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Sw 1st Ave, Ontario, OR 97914 Phone: 541-881-1271 Fax: 541-881-1256 | |
Four Rivers Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1019 Sw 3rd Ave, Ontario, OR 97914 Phone: 154-123-9843 | |
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Foundation Services Group, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Sw 1st Ave, Ontario, OR 97914 Phone: 541-881-1271 Fax: 541-881-1256 | |
Tfp Therapeutic Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Ne 2nd Street, Ontario, OR 97914 Phone: 541-889-1050 Fax: 541-889-6524 | |
The Family Place D/b/a Tfp Services Therapeutic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Ne 2nd St., Ontario, OR 97914 Phone: 541-889-1050 Fax: 541-889-6524 |