COUNTY OF EL DORADO (NPI# 1053839092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053839092 |
| Entity Type | Organization |
| Organization Name | COUNTY OF EL DORADO |
| Other Organization Name | ALCOHOL AND DRUG PROGRAM-BRIW RD |
| Practice Address |
3057 Briw Road Suite A Placerville CA 95667 |
| Mailing Address |
929 Spring St Placerville CA 95667-4543 |
| Practice Telephone | 5306216146 |
| Practice Fax Number | 5302952596 |
| Mailing Telephone | 5306216207 |
| Mailing Fax Number | 5302952596 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | SALINA MARIE DRENNAN (SUDS PROGRAM ADMINISTRATOR/MANAGER) |
| Authorized Official Telephone | 5306216207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Alcohol and Drug Program-Briw Rd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558469296 | County of El Dorado | Ambulance | 2900 Fairlane Ct, Placerville, CA 95667 | 2006-09-20 |
| 1548881634 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2020-04-30 |
| 1720505779 | County of El Dorado | Community/Behavioral Health | 3974 Durock Rd Ste 205, Shingle Springs, CA 95682-8568 | 2017-08-29 |
| 1255534582 | County of El Dorado | Community/Behavioral Health | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2007-06-06 |
| 1063615490 | County of El Dorado | Community/Behavioral Health | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2007-06-05 |
| 1427272459 | County of El Dorado | Clinic/Center | 931 Spring St, Placerville, CA 95667-4543 | 2007-04-12 |
| 1972630549 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF EL DORADO | 931 Spring St, Placerville, CA 95667-4543 |
| Street Address |
3057 BRIW ROAD SUITE A |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| 1013329671 | Melissa Gallagher | Marriage & Family Therapist | 680 Placerville Dr., Suite A2, Placerville, CA 95667 | 2014-05-29 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821619347 | Stanford Youth Solutions | Community/Behavioral Health | 629 Main St Ste 1, Placerville, CA 95667-5751 | 2020-05-06 |
| 1689794422 | New Morning Youth & Family Services, Inc | Community/Behavioral Health | 6765 Green Valley Rd, Placerville, CA 95667-8984 | 2007-03-29 |
| 1912038761 | Institute of Family Counseling | Community/Behavioral Health | 681 Main St Ste 216, Placerville, CA 95667-5748 | 2007-03-07 |
| 1902950751 | Summitview Child and Family Services | Community/Behavioral Health | 670 Placerville Dr # 2, Placerville, CA 95667-4200 | 2007-01-22 |
| 1720688716 | Enduring Hope LLC | Community/Behavioral Health | 331 Diana St, Placerville, CA 95667-3317 | 2020-10-28 |
| 1548881634 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2020-04-30 |
| 1346691094 | Tahoe Turning Point, Inc. Placerville | Community/Behavioral Health | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2016-06-23 |
| 1962810945 | New Morning Youth & Family Services, Inc | Community/Behavioral Health | 6767 Green Valley Rd, Placerville, CA 95667-8984 | 2014-07-23 |
| 1649520891 | El Dorado County Office of Education | Community/Behavioral Health | 6767 Green Valley Rd, Placerville, CA 95667-8984 | 2012-09-14 |
| 1942580378 | El Dorado County Health Services | Community/Behavioral Health | 670 Placerville Dr, Placerville, CA 95667-4200 | 2011-08-17 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on COUNTY OF EL DORADO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.