COUNTY OF MENDOCINO (NPI# 1366868671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366868671 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MENDOCINO |
| Other Organization Name | SUBSTANCE USE DISORDERS TREATMENT |
| Practice Address |
474 E. Valley Street Willits CA 95490-3635 |
| Mailing Address |
1120 S Dora St Ukiah CA 95482-6340 |
| Practice Telephone | 7074722637 |
| Practice Fax Number | 7074722657 |
| Mailing Telephone | 7074722637 |
| Mailing Fax Number | 7074722657 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | JENINE MILLER (BHRS DEPUTY DIRECTOR) |
| Authorized Official Telephone | 7074722637 |
| Authorized Official Credential | PSY.D. |
| 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 | OTHER | OTHER | 01 |
| Other Name | Type Code |
|---|---|
| Substance Use Disorders Treatment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407080898 | County of Mendocino | Clinic/Center | 405 Observatory Ave, Ukiah, CA 95482-5641 | 2009-05-13 |
| 1710016829 | County of Mendocino | Case Management | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-03-05 |
| 1063558823 | County of Mendocino | Public Health or Welfare | 221 S Lenore Ave, Willits, CA 95490-3632 | 2007-01-29 |
| 1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| 1588730642 | County of Mendocino | Clinic/Center | 860 N Bush St, Ukiah, CA 95482-3919 | 2006-11-28 |
| 1265858575 | County of Mendocino | Community/Behavioral Health | 727 S. State Street, Ukiah, CA 95482-5815 | 2014-03-11 |
| 1477985091 | County of Mendocino | Community/Behavioral Health | 727 S State St, Ukiah, CA 95482-5815 | 2013-08-06 |
| 1831478148 | County of Mendocino | Clinic/Center | 790 S Franklin St, Suite #b, Fort Bragg, CA 95437-5456 | 2011-08-04 |
| 1780818179 | County of Mendocino | Clinic/Center | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2009-05-13 |
| 1649468968 | County of Mendocino | Public Health or Welfare | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-10-11 |
| Street Address |
474 E. VALLEY STREET |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| 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 |
|---|---|---|---|---|
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1235566480 | Manzanita Services, Inc. | Community/Behavioral Health | 286 School St, Willits, CA 95490-3435 | 2013-10-02 |
| 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.