LASSEN COUNTY (NPI# 1306083928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306083928 |
| Entity Type | Organization |
| Organization Name | LASSEN COUNTY |
| Other Organization Name | ICPS |
| Practice Address |
1445 Bunyan Rd Suite B Susanville CA 96130-3201 |
| Practice Telephone | 5302518277 |
| Mailing Telephone | 5302518277 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | MRS. TERRI O'BRYAN (DIRECTOR) |
| Authorized Official Telephone | 5302512653 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| ICPS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326318080 | Lassen County | Counselor | 125 Hwy 299 East, Bieber, CA 96009 | 2012-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LASSEN COUNTY DEPT AGRICULTURE | 175 Russell Ave, Susanville, CA 96130-4215 |
| System for Award Management (SAM) Entities | LASSEN COUNTY DISTRICT ATTORNEY | 220 S Lassen St Ste 8, Susanville, CA 96130-4343 |
| System for Award Management (SAM) Entities | LASSEN COUNTY OFFICE OF EDUCATION | 472-013 Johnstonville Rd N, Susanville, CA 96130-8752 |
| Street Address |
1445 BUNYAN RD SUITE B |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982759551 | Richard A. Kanavel | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-01-24 |
| 1346523651 | Christi Shannon Myers | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2011-09-22 |
| 1619250909 | Patti Jo Dellacort | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2011-09-22 |
| 1619273646 | Sherria Sue Pohl | Registered Nurse | 1445 Bunyan Rd, Suite B, Susanville, CA 96130-3201 | 2011-02-09 |
| 1093969628 | Sarah Jennifer North | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3201 | 2008-11-10 |
| 1629274725 | Cheryl Lynn Damm | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-06-25 |
| 1194927830 | Jenny R Lemmon | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-06-04 |
| 1093853798 | Lassen County Public Health Department | Public Health or Welfare | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-02-02 |
| 1790821049 | Joanna Mae Zimmermann | Registered Nurse | 1445 Bunyan Rd, Susanville, CA 96130-3142 | 2007-01-30 |
| 1629114483 | Marilyn Grace Baker | Licensed Vocational Nurse | 1445 Bunyan Rd, Suite B, Susanville, CA 96130-3142 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| 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 |
|---|---|---|---|---|
| 1366920233 | Lassen Aurora Network | Community/Behavioral Health | 815 Cottage St, Susanville, CA 96130-4401 | 2018-08-02 |
| 1730450511 | Lassen County Mental Health | Community/Behavioral Health | 545 Hospital Ln, Susanville, CA 96130-4808 | 2012-01-25 |
| 1831256312 | Owl Intervention Sevices | Community/Behavioral Health | 686-700 Highway 36, Susanville, CA 96130-0444 | 2007-01-03 |
| 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 | SUSANVILLE |
| Zip Code | 96130 |
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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.