COUNTY OF EL DORADO (NPI# 1255534582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255534582 |
| Entity Type | Organization |
| Organization Name | COUNTY OF EL DORADO |
| Other Organization Name | ALCOHOL AND DRUG PROGRAM-WEST SLOPE |
| Practice Address |
768 Pleasant Valley Rd Ste 201 Diamond Springs CA 95619-9260 |
| Mailing Address |
929 Spring St Placerville CA 95667-4543 |
| Practice Telephone | 5306216146 |
| Practice Fax Number | 5302952596 |
| Mailing Telephone | 5306216207 |
| Mailing Fax Number | 5302952596 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | SALINA MARIE DRENNAN (SUDS PROGRAM ADMINISTRATOR/MANAGER) |
| Authorized Official Telephone | 5306216207 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF EL DORADO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Alcohol and Drug Program-West Slope | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1558469296 | County of El Dorado | Ambulance | 2900 Fairlane Ct, Placerville, CA 95667 | 2006-09-20 |
| 1548881634 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2020-04-30 |
| 1720505779 | County of El Dorado | Community/Behavioral Health | 3974 Durock Rd Ste 205, Shingle Springs, CA 95682-8568 | 2017-08-29 |
| 1063615490 | County of El Dorado | Community/Behavioral Health | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2007-06-05 |
| 1427272459 | County of El Dorado | Clinic/Center | 931 Spring St, Placerville, CA 95667-4543 | 2007-04-12 |
| 1972630549 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF EL DORADO | 931 Spring St, Placerville, CA 95667-4543 |
| Street Address |
768 PLEASANT VALLEY RD STE 201 |
| City | DIAMOND SPRINGS |
| State | CA |
| Zip Code | 95619-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851446348 | Nicoleta Vogel | Physician Assistant | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2007-01-24 |
| 1740806074 | Crystal Martha Castech-tobias | Licensed Psychiatric Technician | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-06-23 |
| 1093334757 | Logan Taylor Hayes | Case Manager/Care Coordinator | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-04-13 |
| 1336772409 | Sheilee Enid Fuss | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2020-02-18 |
| 1861952475 | Laura Frances Volk | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2019-03-20 |
| 1114498441 | Kitty Kelsey Ahrens | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2018-12-16 |
| 1912477373 | Yuliya Kyrylyuk | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2018-11-28 |
| 1457829954 | Danny M Marquez | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2018-11-02 |
| 1730604091 | Nora Mae Mays | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2017-08-08 |
| 1497207153 | Taylor Barnette | Licensed Psychiatric Technician | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2016-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265916092 | John Bruce Quantrille | Licensed Vocational Nurse | 555 Arlette Arlette Lane, Diamond Springs, CA 95619 | 2018-09-18 |
| 1831611763 | Paul Canova Boice | Counselor | 3120 Freeboard Drive, Suite 102, West Sacramento, CA 95619 | 2017-07-12 |
| 1912397126 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4229 Toyan Dr, Diamond Springs, CA 95619 | 2015-01-26 |
| 1457699654 | Emma Curtiss | Social Worker | 768 Pleasant Valley Rd., Diamond Springs, CA 95619 | 2013-01-22 |
| 1568715704 | Cheryl Turnboo | Behavioral Analyst | 337 Griffith Road, Diamond Springs, CA 95619 | 2012-10-25 |
| 1528341039 | Michaela Renee Johnson | Counselor | 4224 Fowler Ln, Diamond Springs, CA 95619 | 2011-09-21 |
| 1518178193 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619 | 2007-05-24 |
| 1760694707 | John Carberry II | Counselor | 6692-b Merchandise Way, Diamond Springs, CA 95619 | 2007-05-03 |
| 1144343609 | Sierra Child and Family Services | Community/Behavioral Health | 4250 Fowler Ln. Suite 204, Diamond Springs, CA 95619 | 2007-04-09 |
| 1689790404 | Celia Sabra Mason-douglas | Marriage & Family Therapist | 6201 Enterprise Dr, Diamond Springs, CA 95619 | 2007-03-22 |
| Find all providers in zip 95619 | ||||
| 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 |
|---|---|---|---|---|
| 1144343609 | Sierra Child and Family Services | Community/Behavioral Health | 4250 Fowler Ln. Suite 204, Diamond Springs, CA 95619 | 2007-04-09 |
| 1639625189 | Amie Celeste Sokolay | Community/Behavioral Health | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2016-08-25 |
| 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 | DIAMOND SPRINGS |
| Zip Code | 95619 |
Please comment or provide details below to improve the information on COUNTY OF EL DORADO.
| 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.