COLLEGE COMMUNITY SERVICES (NPI# 1225241417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225241417 |
| Entity Type | Organization |
| Organization Name | COLLEGE COMMUNITY SERVICES |
| Practice Address |
1400 N Norma St Ste 127-133 Ridgecrest CA 93555-2575 |
| Mailing Address |
4281 Katella Ave Suite 201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 7604997406 |
| Practice Fax Number | 7604997479 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | TRACY GINTER (LEAD BILLING MANAGER) |
| Authorized Official Telephone | 7145036880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 15AI | 05 | |
| CA | 15AP | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1730391376 | College Community Services | Community/Behavioral Health | 29341 Kimberlina Rd Ste 102, Wasco, CA 93280-7617 | 2007-05-04 |
| 1528197662 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 116, Santa Ana, CA 92705 | 2007-03-05 |
| 1235274804 | College Community Services | Community/Behavioral Health | 2001 E 4th St Ste 200&205, Santa Ana, CA 92705-3916 | 2007-02-21 |
| 1841335692 | College Community Services | Community/Behavioral Health | 11277 Garden Grove Blvd Ste 100, Garden Grove, CA 92843-1340 | 2007-02-20 |
| 1790256766 | College Community Services | Community/Behavioral Health | 928 F St, Wasco, CA 93280-2040 | 2018-12-17 |
| 1336610302 | College Community Services | Community/Behavioral Health | 930 F St, Wasco, CA 93280-2040 | 2018-12-17 |
| 1083185136 | College Community Services | Community/Behavioral Health | 2821 H St, Bakersfield, CA 93301-1913 | 2018-12-16 |
| 1750831889 | College Community Services | Health Maintenance Organization | 401 S Tustin St, Building #c, Orange, CA 92866-2550 | 2016-10-13 |
| 1144578816 | College Community Services | Community/Behavioral Health | 13950 Milton Ave, Suite 306, Westminster, CA 92683-2900 | 2012-08-28 |
| Street Address |
1400 N NORMA ST STE 127-133 |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427172899 | Debbie Diane Beckett | Counselor | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555-2575 | 2007-03-19 |
| 1497372643 | Jessica Hiatt | Case Manager/Care Coordinator | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555-2575 | 2020-07-02 |
| 1962023499 | Joshua Ray Pierce | Peer Specialist | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555-2575 | 2020-05-06 |
| 1073148169 | Kyson Willis | Case Manager/Care Coordinator | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555-2575 | 2020-03-09 |
| 1851866321 | Lacinda Beyes | Case Manager/Care Coordinator | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555-2575 | 2018-10-10 |
| 1720489065 | Venecia Ebneof | Counselor | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555 | 2014-09-05 |
| 1558798769 | Ashley Lynn Pascarella | Case Manager/Care Coordinator | 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555-2575 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| 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 |
|---|---|---|---|---|
| 1770019994 | College Community Services, Inc | Community/Behavioral Health | 500 E French Ave, Ridgecrest, CA 93555 | 2017-05-08 |
| 1871028506 | College Community Serivces, Inc. | Community/Behavioral Health | 140 Drummond Ave, Ridgecrest, CA 93555 | 2017-05-01 |
| 1801182134 | College Community Services, Incorporated | Community/Behavioral Health | 1400 N Norma St, Suite 117-125, Ridgecrest, CA 93555-2575 | 2011-06-24 |
| 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 | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
Please comment or provide details below to improve the information on COLLEGE COMMUNITY SERVICES.
| 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.