SIERRA STONEGATE


Address: 3657 Goldenstar St, Plumas Lake, CA 95961-8746
Phone: 9164759586

SIERRA STONEGATE (NPI# 1336403708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336403708
Entity Type Organization
Organization Name SIERRA STONEGATE
Other Organization Name HEALTHY INTERVENTIONS
Practice Address 3657 Goldenstar St
Plumas Lake
CA 95961-8746
Practice Telephone 9164759586
Mailing Telephone 9164759586
Enumeration Date 2012-06-29
Last Update Date 2012-06-29
Authorized Official Name SAM VINEY (THERAPIST)
Authorized Official Telephone 9164758590
Authorized Official Credential MA, MFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
57436 CA Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
57436 CA Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
healthy interventions Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255667234 Sierra Stonegate Community Based Residential Treatment Facility, Mental Illness 4140 Buchanan Dr, Fair Oaks, CA 95628-6104 2009-10-26

Office Location

Street Address 3657 GOLDENSTAR ST
City PLUMAS LAKE
State CA
Zip Code 95961-8746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851656052 Samual Viney Marriage & Family Therapist 3657 Goldenstar St, Plumas Lake, CA 95961-8746 2012-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225596315 Shelby Marie Mclaughlin Counselor 471 Century Park Drive B, Yuba City, CA 95961 2019-03-07
1780125583 Elia Moreno Thomas Counselor 1754 Skinner Ave, Olivehurst, CA 95961 2017-03-13
1356652549 Hyesung Han Pharmacist 5075 Olivehurst Ave, Olivehurst, CA 95961 2010-06-23
1225283195 Pao Choua Lor Driver 4552 Meadow Wy, Olivehurst, CA 95961 2008-11-19
1235385725 Thera Lynn Hampton Specialist 1345 Lady Fern St., Plumas Lake, CA 95961 2008-08-15
1841444049 Thrifty Payless Inc Durable Medical Equipment & Medical Supplies 5075 Olivehurst Avenue, Olivehurst, CA 95961-4023 2008-11-14
1699382192 Ryan Sauer Pharmacist 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 2020-09-28
1649721648 Vandana Chaudhari Pharmacist 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 2016-10-14
1679880850 Tilak Baviskar Pharmacist 5075 Olivehurst Ave, Olivehurst, CA 95961-4023 2010-09-08
1255464871 Olivehurst Drug Store Inc Pharmacy 4897 Olivehurst Ave, Olivehurst, CA 95961-4225 2007-03-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730430547 Jesus Alfonso Gomez Counselor 1958 Maverick Dr, Plumas Lake, CA 95961-9164 2012-09-20

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NPI Name Taxonomy Address Enumeration
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1801497854 Amor Serra Counselor 1543 Colusa Pl, Salinas, CA 93906-2512 2020-11-05
1003417080 Mary Williams Counselor 8032 Twin Oaks Ave, Citrus Heights, CA 95610-0510 2020-11-05
1487255790 Sharon Kiesler Counselor 3621 Webster St, Oakland, CA 94609-2844 2020-11-03
1235730813 Debrah Deans Therapy Counselor 1023 H St Ste B5, Sacramento, CA 95814-2815 2020-11-02
1417558974 Diosa Marriage and Family Therapy PC Counselor 14420 Civic Dr Ste 6, Victorville, CA 92392-2384 2020-11-02
1669072302 Imani Rivers Counselor 135 Gateway Ct, Vallejo, CA 94589-4339 2020-10-30
1912507021 Lucid Lane Providers, P.C. Counselor 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 2020-10-28
1639779101 Paula Perez Counselor 5882 Adobe Falls Rd, San Diego, CA 92120-4600 2020-10-26
1093314536 Ryan Tyler Corbin Counselor 9075 Elk Grove Blvd, Elk Grove, CA 95624-2070 2020-10-24
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Competitor

Search similar providers

City PLUMAS LAKE
Zip Code 95961

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Dataset Information

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.

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