VALLEY STAR BEHAVIORAL HEALTH, INC. (NPI# 1265610091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265610091 |
| Entity Type | Organization |
| Organization Name | VALLEY STAR BEHAVIORAL HEALTH, INC. |
| Other Organization Name | VALLEY STAR CFS-MENTONE |
| Practice Address |
9355 Opal Ave Mentone CA 92359-9605 |
| Practice Telephone | 5106359705 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | KENT DUNLAP (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Telephone | 3102216336 |
| 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 | CONDITIONAL LANUSE PERMIT | 308-CA20070329-TEMP | 01 |
| Other Name | Type Code |
|---|---|
| Valley Star CFS-Mentone | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558849141 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12188 Hesperia Road, Victorville, CA 92395-5822 | 2018-08-06 |
| 1306223516 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 7293 Dumosa Ave., Suite 2, Yucca Valley, CA 92284-3700 | 2015-04-27 |
| 1033269543 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 1585 South D Street, Suite 101, 205, San Bernardino, CA 92408-3257 | 2007-01-10 |
| 1649758236 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 7281 Dumosa Ave Ste 4, Yucca Valley, CA 92284-3781 | 2018-08-06 |
| 1396265336 | Valley Star Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 720 E Gilbert St, San Bernardino, CA 92415-0001 | 2017-06-21 |
| 1457731606 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 58471 29 Palms Hwy, Suite 102, Yucca Valley, CA 92284-5818 | 2015-06-03 |
| 1275947426 | Valley Star Behavioral Health, Inc. | Community/Behavioral Health | 12240 Hesperia Rd, Victorville, CA 92395-8309 | 2014-06-16 |
| 1851637151 | Valley Star Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 780 E Gilbert St, San Bernardino, CA 92415-1003 | 2012-12-14 |
| Street Address |
9355 OPAL AVE |
| City | MENTONE |
| State | CA |
| Zip Code | 92359-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386831295 | Winston Simms | Marriage & Family Therapist | 9355 Opal Ave, Mentone, CA 92359-9605 | 2007-09-25 |
| 1215217633 | Ian Terry Crocker | Counselor | 9355 Opal Ave, Mentone, CA 92359-9605 | 2011-08-17 |
| 1073750881 | Anthony Sanders | Counselor | 9355 Opal Ave, Mentone, CA 92359-9605 | 2009-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275010852 | Pingkan Leilani Simauw | Case Manager/Care Coordinator | 10360 Rock St, Mentone, CA 92359 | 2018-07-25 |
| 1861676033 | Laurel Elizabeth Slater | Registered Nurse | 34346 Fishhatchery Rd, Mentone, CA 92359 | 2007-12-24 |
| 1356530786 | Lisa M Coonrod | Registered Nurse | 34452 Fish Hatchery Rd, Mentone, CA 92359-0122 | 2007-10-22 |
| 1841759768 | Christy Hart | Counselor | 1336 Wabash Ave, Mentone, CA 92359-1124 | 2019-03-19 |
| 1790923753 | Rose Garden Residential Care | Alzheimer Center (Dementia Center) | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2009-01-29 |
| 1851639405 | Rose Garden Residential Operator, LLC | Assisted Living Facility | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2013-01-16 |
| 1801150164 | Tania Marie Mccracken | Midwife | 1378 Turquoise Ave, Mentone, CA 92359-1257 | 2012-07-01 |
| 1033263298 | James Patrick Caley Dds | Dentist | 1856 Mentone Blvd Ste B, Mentone, CA 92359-1276 | 2007-01-23 |
| 1770803546 | Building A Generation | Early Intervention Provider Agency | 1320 Crafton Ave, Mentone, CA 92359-1318 | 2010-06-03 |
| 1710544713 | Elizabeth An Hess | Behavior Technician | 1365 Crafton Ave Apt 2092, Mentone, CA 92359-1354 | 2019-05-24 |
| Find all providers in zip 92359 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.