LIFEWORKS OF SONOMA COUNTY (NPI# 1215360540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215360540 |
| Entity Type | Organization |
| Organization Name | LIFEWORKS OF SONOMA COUNTY |
| Practice Address |
1200 College Ave Santa Rosa CA 95404-3908 |
| Practice Telephone | 7075682300 |
| Mailing Telephone | 7075682300 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Authorized Official Name | MS. JILL ROYCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7075682300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 55391 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396063509 | Lifeworks of Sonoma County | Community/Behavioral Health | 2480 Sebastopol Road, Santa Rosa, CA 95407-6728 | 2010-05-12 |
| 1821254889 | Lifeworks of Sonoma County | Community/Behavioral Health | 1350 Sonoma Avenue, Santa Rosa, CA 95405-6697 | 2008-07-30 |
| 1053522508 | Lifeworks of Sonoma County | Community/Behavioral Health | 5154 Snyder Lane, Rohnert Park, CA 94928-2943 | 2007-05-25 |
| 1528279072 | Lifeworks of Sonoma County | Community/Behavioral Health | 9500 Brooks Road S, Windsor, CA 95492-9217 | 2007-05-25 |
| 1437360989 | Lifeworks of Sonoma County | Community/Behavioral Health | 333 Casa Grande Road, Petaluma, CA 94954-5799 | 2007-05-25 |
| 1619188166 | Lifeworks of Sonoma County | Community/Behavioral Health | 1235 Mendocino Avenue, Santa Rosa, CA 95401-4386 | 2007-05-25 |
| 1033329487 | Lifeworks of Sonoma County | Community/Behavioral Health | 5450 Snyder Lane, Rohnert Park, CA 94928-2906 | 2007-05-23 |
| 1619295839 | Lifeworks of Sonoma County | Community/Behavioral Health | 1260 N Dutton Ave, Ste 105 & Ste 244, Santa Rosa, CA 95401 | 2010-05-12 |
| 1063557171 | Lifeworks of Sonoma County | Counselor | 1260 N Dutton Ave, Ste 105 & Ste 244, Santa Rosa, CA 95401-7121 | 2007-02-20 |
| Street Address |
1200 COLLEGE AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104849728 | Michael K. Tonjum | Psychologist | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2006-07-25 |
| 1871000547 | Jessica Lynn Rowinsky | Counselor | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2018-01-04 |
| 1568901205 | Diana Loeza | Counselor | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2017-02-14 |
| 1972042794 | Henry Olcese | Counselor | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2017-02-13 |
| 1245649490 | Autumn Powell | Marriage & Family Therapist | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2014-08-12 |
| 1629402227 | Luis Enrique Bravo-avina | Counselor | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2013-08-30 |
| 1588006977 | Lucy Olson | Marriage & Family Therapist | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2013-07-25 |
| 1194167742 | Gail C Van Buuren | Marriage & Family Therapist | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2013-07-24 |
| 1316383870 | Lifeworks | Community/Behavioral Health | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2013-05-10 |
| 1902241565 | Letesha M Holley | Counselor | 1200 College Ave, Santa Rosa, CA 95404-3908 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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 |
|---|---|---|---|---|
| 1487908620 | Missing Elements | Community/Behavioral Health | 425 Denton Way, Santa Rosa, CA 95401-4810 | 2012-11-08 |
| 1720306939 | Life Works of Sonoma County | Community/Behavioral Health | 2590 Piner Road, Santa Rosa, CA 95401-4035 | 2010-05-12 |
| 1396063509 | Lifeworks of Sonoma County | Community/Behavioral Health | 2480 Sebastopol Road, Santa Rosa, CA 95407-6728 | 2010-05-12 |
| 1891028445 | Sunny Hills Services | Community/Behavioral Health | 365 Casa Manana Road, Building G, Santa Rosa, CA 95409-6559 | 2009-09-15 |
| 1821254889 | Lifeworks of Sonoma County | Community/Behavioral Health | 1350 Sonoma Avenue, Santa Rosa, CA 95405-6697 | 2008-07-30 |
| 1144431693 | Life Works of Sonoma County | Community/Behavioral Health | 1370 San Miguel Road, Santa Rosa, CA 95403-1986 | 2007-05-25 |
| 1619188166 | Lifeworks of Sonoma County | Community/Behavioral Health | 1235 Mendocino Avenue, Santa Rosa, CA 95401-4386 | 2007-05-25 |
| 1225249931 | Cil/psi Special Services, Inc. | Community/Behavioral Health | 1850 Vallejo St, Santa Rosa, CA 95404-5341 | 2007-05-24 |
| 1740490176 | Cilpsi Special Services | Community/Behavioral Health | 1700 Fulton Rd, Santa Rosa, CA 95403-1815 | 2007-05-23 |
| 1558580944 | Sunny Hills Services | Community/Behavioral Health | 1360 N Dutton Ave Ste 100, Santa Rosa, CA 95401-4668 | 2007-04-24 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.