SANTA CRUZ COMMUNITY COUNSELING CENTER, INC. (NPI# 1134318967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134318967 |
| Entity Type | Organization |
| Organization Name | SANTA CRUZ COMMUNITY COUNSELING CENTER, INC. |
| Other Organization Name | YOUTH SERVICES |
| Practice Address |
415 Walnut Ave Santa Cruz CA 95060-3633 |
| Mailing Address |
709 Mission St Santa Cruz CA 95060-3614 |
| Practice Telephone | 8314298350 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | CAROL PRUITT (PROGRAM MANAGER) |
| Authorized Official Telephone | 8314298350 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANTA CRUZ COMMUNITY COUNSELING CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Youth Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790957355 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 1817 Soquel Ave, Santa Cruz, CA 95062-1307 | 2008-03-24 |
| 1235328055 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 251 E Lake Ave, Watsonville, CA 95076-4711 | 2007-10-17 |
| 1073702890 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 300 La Fonda Ave, Santa Cruz, CA 95062-1431 | 2007-10-17 |
| 1124217955 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 7179 Hacienda Way, Felton, CA 95018-9340 | 2007-10-17 |
| 1760670806 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 305 Marion Ave, Ben Lomond, CA 95005-9403 | 2007-10-12 |
| 1033307186 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 221 Airport Blvd, Freedom, CA 95019-2601 | 2007-10-12 |
| 1568650729 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 7105 Highway 9, Felton, CA 95018-9718 | 2007-10-11 |
| 1467640623 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 401 Old San Jose Rd, Soquel, CA 95073-2213 | 2007-10-11 |
| 1952590788 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 709 Mission St, Santa Cruz, CA 95060-3614 | 2007-10-17 |
| 1780873505 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 521 Main St, Watsonville, CA 95076-4373 | 2007-10-17 |
| Street Address |
415 WALNUT AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1477003937 | Encompass | Community/Behavioral Health | 716 Ocean St Ste 200, Santa Cruz, CA 95060-4034 | 2016-10-09 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1063839330 | Coastline Support, Inc. | Community/Behavioral Health | 1509 Seabright Ave., C-1, Santa Cruz, CA 95062 | 2014-03-25 |
| 1972930097 | Encompass Community Services | Community/Behavioral Health | 530 Ocean St Ste B, Santa Cruz, CA 95060-6628 | 2013-10-03 |
| 1710238662 | Family Services Agency | Community/Behavioral Health | 527 Windham St, Santa Cruz, CA 95062-2461 | 2012-10-01 |
| 1790957355 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 1817 Soquel Ave, Santa Cruz, CA 95062-1307 | 2008-03-24 |
| 1073702890 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 300 La Fonda Ave, Santa Cruz, CA 95062-1431 | 2007-10-17 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1083838767 | Volunteer Centers of Santa Cruz | Community/Behavioral Health | 1010 Emeline Ave, Santa Cruz, CA 95060-1913 | 2007-04-12 |
| 1083737167 | Parents Center | Community/Behavioral Health | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2007-04-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.