SANTA CRUZ COMMUNITY COUNSELING CENTER (NPI# 1235355272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235355272 |
| Entity Type | Organization |
| Organization Name | SANTA CRUZ COMMUNITY COUNSELING CENTER |
| Other Organization Name | YOUTH SERVICES |
| Practice Address |
255 E Lake Ave Watsonville CA 95076-4717 |
| Mailing Address |
195 Harvey West Blvd # A Santa Cruz CA 95060-2126 |
| Practice Telephone | 8317282227 |
| Practice Fax Number | 8317283629 |
| Mailing Telephone | 8314691700 |
| Mailing Fax Number | 8314251905 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | MONICA MARTINEZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8314691700 |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|---|
| 1912123944 | Santa Cruz Community Counseling Center | Substance Abuse Rehabilitation Facility | 640 Rodriguez St, Watsonville, CA 95076-4212 | 2007-04-18 |
| Street Address |
255 E LAKE AVE |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881717981 | Parents Center | Community/Behavioral Health | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-06 |
| 1417173022 | Maria Cecilia Levy | Counselor | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-18 |
| 1194940478 | Francisco J. Cardenas | Counselor | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-13 |
| 1902021264 | Tito Ortega | Counselor | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-13 |
| 1194940460 | Belinda Rubalcava | Social Worker | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-13 |
| 1447474176 | Margo Avendano Cloutier | Marriage & Family Therapist | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-12 |
| 1558585273 | Faith E. Eurie-turner | Counselor | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1649601550 | Janus of Santa Cruz | Community/Behavioral Health | 284 Pennsylvania Dr., Watsonville, CA 95076-3768 | 2013-12-02 |
| 1114225448 | Encompass Community Services | Community/Behavioral Health | 165 Harkins Slough Rd, Watsonville, CA 95076-4124 | 2011-03-10 |
| 1235328055 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 251 E Lake Ave, Watsonville, CA 95076-4711 | 2007-10-17 |
| 1215133434 | Pajaro Valley Prevention & Student Assistance Inc | Community/Behavioral Health | 240 E Lake Ave, Watsonville, CA 95076-4718 | 2007-06-25 |
| 1881815207 | Volunteer Centers of Santa Cruz | Community/Behavioral Health | 10 Carr St, Watsonville, CA 95076-4710 | 2007-05-01 |
| 1760608707 | Encompass Community Services | Community/Behavioral Health | 585 Auto Center Dr Ste B, Watsonville, CA 95076-3764 | 2007-04-18 |
| 1659594547 | Encompass Community Services | Community/Behavioral Health | 241 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-10 |
| 1881717981 | Parents Center | Community/Behavioral Health | 255 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-06 |
| 1720500796 | Pajaro Valley Prevention and Student Assistance, Inc. | Community/Behavioral Health | 411 E Lake Ave, Watsonville, CA 95076-4424 | 2017-07-12 |
| 1205213006 | Noemi Orozco | Community/Behavioral Health | 11 Alexander St, Watsonville, CA 95076-4626 | 2015-04-30 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
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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.