VICTOR COMMUNITY SUPPORT SERVICES, INC. (NPI# 1225181050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225181050 |
| Entity Type | Organization |
| Organization Name | VICTOR COMMUNITY SUPPORT SERVICES, INC. |
| Other Organization Name | VICTOR COMMUNITY SUPPORT SERVICES, CHICO |
| Practice Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 5302671700 |
| Practice Fax Number | 5302671775 |
| Mailing Telephone | 5302671700 |
| Mailing Fax Number | 5302671775 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | MS. ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY # | 01042 | 01 |
| Other Name | Type Code |
|---|---|
| Victor Community Support Services, Chico | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579628 | Victor Community Support Services, Inc. | Clinic/Center | 302 Cherry Ln Ste 101&201, Manteca, CA 95337-4311 | 2019-10-17 |
| 1780957282 | Victor Community Support Services, Inc. | Clinic/Center | 600 N Arrowhead Ave Ste 300, San Bernardino, CA 92401-1148 | 2012-02-14 |
| 1629240270 | Victor Community Support Services, Inc. | Clinic/Center | 555 N Perris Blvd Bldg A, Perris, CA 92571-2811 | 2008-03-24 |
| 1972689370 | Victor Community Support Services, Inc. | Community/Behavioral Health | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-27 |
| 1366950784 | Victor Community Support Services, Inc. | Clinic/Center | 1105 E Florida Ave, Hemet, CA 92543-4512 | 2018-01-19 |
| 1851670418 | Victor Community Support Services, Inc. | Clinic/Center | 1053 N D St, San Bernardino, CA 92410-3521 | 2011-08-12 |
| 1922306620 | Victor Community Support Services, Inc. | Community/Behavioral Health | 555 N Perris Blvd, Perris, CA 92571-2811 | 2011-03-03 |
| 1417264185 | Victor Community Support Services, Inc. | Clinic/Center | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2010-09-01 |
| 1669703427 | Victor Community Support Services, Inc. | Clinic/Center | 265 San Jacinto River Rd, Suite 106, 107, 201-207, Lake Elsinore, CA 92530 | 2010-01-19 |
| 1831369099 | Victor Community Support Services, Inc. | Clinic/Center | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2008-03-04 |
| Street Address |
1360 E LASSEN AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95973-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972689370 | Victor Community Support Services, Inc. | Community/Behavioral Health | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-27 |
| 1326646589 | Roxanne Mary Vitavec | Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2020-10-10 |
| 1427662014 | Gladys Hernandez | Marriage & Family Therapist | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2020-09-01 |
| 1053925800 | Vanessa Salcido | Marriage & Family Therapist | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2020-08-31 |
| 1801409073 | Megan Grace Cardwell-henry | Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2020-08-27 |
| 1295348407 | Hailey Nantt | Marriage & Family Therapist | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2020-08-26 |
| 1053960252 | Vanessa Hernandez | Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2019-09-10 |
| 1801445085 | Yulisa Rivas-olivares | Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2019-09-10 |
| 1750930947 | Harpreet Kaur | Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2019-09-10 |
| 1598314478 | Alison Leigh Pratt | Counselor | 1360 E Lassen Ave, Chico, CA 95973-7823 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066997 | Jennifer Ballintine | Dietitian, Registered | 2511 Navarro Drive, Chico, CA 95973 | 2018-06-11 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1699298323 | Wyatt Pforsich | Student in an Organized Health Care Education/Training Program | 4038 Augusta Ln, Chico, CA 95973 | 2017-07-25 |
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
| 1376090944 | Sarah Scharf | Behavioral Analyst | 15 Declaration Dr., Chico, CA 95973 | 2016-09-01 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1013251404 | Brigette Marie Brown | Speech-Language Pathologist | 2870 Cactus Ave, Chico, CA 95973 | 2012-11-26 |
| Find all providers in zip 95973 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390280 | Environmental Alternatives | Clinic/Center | 756 East Ave, Chico, CA 95926-1209 | 2019-11-15 |
| 1144784315 | Youth for Change | Clinic/Center | 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 | 2019-01-22 |
| 1841453438 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave Ste 104b&d, Chico, CA 95926 | 2008-07-03 |
| 1811506058 | Youth for Change | Clinic/Center | 260 Cohasset Rd, Chico, CA 95926-2282 | 2020-07-23 |
| 1033660642 | Youth for Change | Clinic/Center | 572 Rio Lindo Ave, Suite 206, Chico, CA 95926-1851 | 2016-10-18 |
| 1477856862 | Youth for Change | Clinic/Center | 578 Rio Lindo Ave Ste 3, Chico, CA 95926-1800 | 2010-12-07 |
| 1811159668 | Youth for Change | Clinic/Center | 130 W 6th St, Chico, CA 95928-5508 | 2008-07-01 |
| 1619194438 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1528285343 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| 1326265141 | County of Butte | Clinic/Center | 3217 Cohasset Rd, Chico, CA 95973-5404 | 2007-04-20 |
| Find all providers in CHICO | ||||
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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.