NORTH COAST SUBSTANCE ABUSE COUNCIL (NPI# 1376057182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376057182 |
| Entity Type | Organization |
| Organization Name | NORTH COAST SUBSTANCE ABUSE COUNCIL |
| Practice Address |
1205 Myrtle Ave Eureka CA 95501-1224 |
| Mailing Address |
Po Box 1332 Eureka CA 95502-1332 |
| Practice Telephone | 7074450869 |
| Practice Fax Number | 7074450826 |
| Mailing Telephone | 7074450869 |
| Mailing Fax Number | 7074450826 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | WESLEY HARRISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7074450869 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
120005AN | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1210 Myrtle Ave, Eureka, CA 955011225 | 7074437894 | 7074450826 |
| Street Address |
1205 MYRTLE AVE |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798564 | Britain Kalob Davis | Counselor | 1205 Myrtle Ave, Eureka, CA 95501-1224 | 2020-04-10 |
| 1700343654 | Stephanie Roberts | Counselor | 1205 Myrtle Ave, Eureka, CA 95501-1224 | 2019-02-27 |
| 1548727498 | Denise Michelle Lee | Counselor | 1205 Myrtle Ave, Eureka, CA 95501-1224 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784707 | Tiffany Cherie Hall | Counselor | 1219 10th St, Eureka, CA 95501-2024 | 2020-06-12 |
| 1053945527 | Gayla Carol Judd | Counselor | 944 N St, Eureka, CA 95501-2045 | 2020-02-24 |
| 1750913646 | Donald Ray Rivers | Counselor | 1024 N St, Eureka, CA 95501-2047 | 2020-02-07 |
| 1619455680 | Melina Jane Gold | Counselor | 2107 1st St, Eureka, CA 95501-0840 | 2018-08-01 |
| 1265921639 | Glacier Clinic LLC | Counselor | 99 Mills Spring Rd Ste 1, Eureka, MT 59917 | 2018-05-01 |
| 1710126347 | Lisa C Silva | Counselor | 2734 Hubbard Lane, Eureka, CA 95501 | 2009-02-04 |
| 1245368331 | Eric Helland Nelson | Counselor | 3940 Cedar St, Eureka, CA 95503-7615 | 2007-03-01 |
| 1326003344 | Eric John Larson | Counselor | 109 E Eureka, Eureka, IL 61530 | 2006-04-20 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1700491123 | Leta May Perriello | Counselor | 2107 1st St, Eureka, CA 95501-0840 | 2020-09-11 |
| Find all providers in EUREKA | ||||
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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.