PATRIOT COUNSELING SERVICES (NPI# 1114467552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114467552 |
| Entity Type | Organization |
| Organization Name | PATRIOT COUNSELING SERVICES |
| Practice Address |
545 W Sierra St Portola CA 96122-8615 |
| Mailing Address |
165 Ridge St Portola CA 96122-8609 |
| Practice Telephone | 7758489771 |
| Mailing Telephone | 7758489771 |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | CHARLA ANN RUSH (PRESIDENT OF AGENCY AND TREATMENT P) |
| Authorized Official Telephone | 7758489771 |
| Authorized Official Credential | MS, CATC IV, MAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
545 W SIERRA ST |
| City | PORTOLA |
| State | CA |
| Zip Code | 96122-8615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437415718 | Charla Ann Rush | Counselor | 545 W Sierra St, Portola, CA 96122-8615 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282810 | County of Plumas | Clinic/Center | 280 W. Sierra Street, Portola, CA 96122 | 2018-04-16 |
| 1033262548 | Sands Travelers Pt, Inc. | Specialist | 72795 S Delleker, Portola, CA 96122 | 2007-01-19 |
| 1326535352 | County of Plumas | Clinic/Center | 372 Main Street, Chester, CA 96122 | 2018-04-16 |
| 1467617332 | Richard D Hungerford | Chiropractor | 76466 Meadow Way, Portola, CA 96122-5100 | 2008-07-21 |
| 1114079035 | Richard Gepford | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-01-18 |
| 1891997037 | Jamie P Willmore | Physical Therapist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-06-01 |
| 1750416186 | Jeanne Kessler | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-02-23 |
| 1376785121 | Michael Scott Trenner | Respiratory Therapist, Registered | 545 Fourth St, Portola, CA 96122-7601 | 2009-03-25 |
| 1962688572 | Jeanne M. Harper | Occupational Therapist | 7332 Lake Davis Rd, Portola, CA 96122-8012 | 2008-01-14 |
| 1750481594 | Mario G. Garibotti | Dentist | 145 N Pine St, Portola, CA 96122-8415 | 2006-09-22 |
| Find all providers in zip 96122 | ||||
| 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 |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| 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.