REDWOOD COMMUNITY SERVICES, INC. (NPI# 1285772251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285772251 |
| Entity Type | Organization |
| Organization Name | REDWOOD COMMUNITY SERVICES, INC. |
| Other Organization Name | INTERPERSONAL SKILLS TRAINING CENTER (ISTC) |
| Practice Address |
6150 Orr Springs Rd Ukiah CA 95482-9032 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482 |
| Practice Telephone | 7074625056 |
| Practice Fax Number | 7074625205 |
| Mailing Telephone | 7074625056 |
| Mailing Fax Number | 7074625205 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MRS. VICTORIA JERSUHA KELLY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7074622010 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | REDWOOD COMMUNITY SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MENDOCINO CO MH SITE # | 23BB | 01 |
| CA | SONOMA CO PROVIDER NO. | 49EF1 | 01 |
| CA | 01234708 | 05 |
| Other Name | Type Code |
|---|---|
| Interpersonal Skills Training Center (ISTC) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1326305152 | Redwood Community Services, Inc. | Case Management | 310 3rd St, Eureka, CA 95501-0492 | 2012-04-18 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1174661284 | Redwood Community Services, Inc. | Marriage & Family Therapist | 99 S Humboldt St, Willits, CA 95490-3509 | 2007-02-01 |
| 1487172375 | Redwood Community Services, Inc. | Case Management | 320 1st St, Lakeport, CA 95453-4706 | 2017-08-31 |
| 1578085163 | Redwood Community Services, Inc. | Case Management | 7690 East Rd, Redwood Valley, CA 95470 | 2017-07-14 |
| 1477075067 | Redwood Community Services, Inc. | Case Management | 150 Gibson St, Ukiah, CA 95482-3941 | 2017-07-14 |
| 1285187526 | Redwood Community Services, Inc. | Case Management | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-08-03 |
| 1427401439 | Redwood Community Services, Inc. | Case Management | 780 S Dora St, Ukiah, CA 95482-5348 | 2016-07-14 |
| Street Address |
6150 ORR SPRINGS RD |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205142965 | Louis F Legazpy | Marriage & Family Therapist | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2010-08-19 |
| 1750522124 | Kinsey S Metts | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2009-03-16 |
| 1891940052 | Mary Denise Masterson | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2008-12-01 |
| 1639324510 | Susie R Levoe | Case Manager/Care Coordinator | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2008-11-19 |
| 1629262597 | Dave S Heth | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-09-04 |
| 1629191671 | Kristin L Frith | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-04-06 |
| 1982729554 | Cynthia A Wiedemann | Marriage & Family Therapist | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-03-20 |
| 1740305341 | Kristin L Salisbury | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-03-20 |
| 1528183126 | Sallie L Werson | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-03-20 |
| 1235268871 | Michael E Ranuio | Counselor | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955506 | Katerina Smallcomb | Counselor | 169 Mason St, Ukiah, CA 95482-4482 | 2018-09-06 |
| 1316460900 | Ksenia Zhilyaeva | Counselor | 775 S State St Ste 107, Ukiah, CA 95482-5815 | 2017-07-25 |
| 1457702292 | Felice Suzanne Hensley | Counselor | 775 S State St, Suite 107, Ukiah, CA 95482-5815 | 2016-06-23 |
| 1134508740 | Suzanne Yonts-baughman | Counselor | 631 S. Orchard Ave., Ukiah, CA 95482-3312 | 2015-05-28 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1578986386 | Yvette Eileen Stemets | Counselor | 468 Beltrami Dr, Ukiah, CA 95482-8746 | 2014-01-30 |
| 1154750628 | Kimberlee Suzanne Golding | Counselor | 376 E Gobbi St Ste B, Ukiah, CA 95482-5511 | 2013-11-05 |
| 1962537654 | Amy Aikman | Counselor | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2007-02-22 |
| 1821137175 | Tabitha I Kuehne | Counselor | 350 E. Gobbi St, Ukiah, CA 95482 | 2007-02-05 |
| Find all providers in UKIAH | ||||
Please comment or provide details below to improve the information on REDWOOD COMMUNITY SERVICES, INC..
| 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.