COMMON GOALS (NPI# 1467717249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467717249 |
| Entity Type | Organization |
| Organization Name | COMMON GOALS |
| Practice Address |
727 Zion St Nevada City CA 95959-2920 |
| Practice Telephone | 5302652914 |
| Practice Fax Number | 5302652974 |
| Mailing Telephone | 5302652914 |
| Mailing Fax Number | 5302652974 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | MR. HAROLD JOSEPH BORDENAVE III (DRUG COUNSELOR) |
| Authorized Official Telephone | 5303446457 |
| Authorized Official Credential | CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | N/A | N/A | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMON GOALS AFFILIATED LLC | 164 B Vandenburgh Place, Troy, New York 12180 |
| Oklahoma Business Registrations | COMMON GOALS, LLC | 11919 Watermill Rd., Oklahoma City, OK 73131 |
| Street Address |
727 ZION ST |
| City | NEVADA CITY |
| State | CA |
| Zip Code | 95959-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821109844 | Steve Navisky | Marriage & Family Therapist | 727 Zion St, Nevada City, CA 95959-2920 | 2006-08-31 |
| 1811247380 | Terri M Nadzam-ruggiero | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2012-09-12 |
| 1043575996 | Robert M. Barker | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2012-07-06 |
| 1235440892 | Jeanne Marie Bornstein | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2010-06-29 |
| 1285955815 | Susan Lee Couture | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2010-06-17 |
| 1952631707 | Joseph Jacob Festersen | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2009-12-29 |
| 1962732719 | John Charles Duff IIi | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2009-12-29 |
| 1205001815 | Alexandra M. Wright | Marriage & Family Therapist | 727 Zion St, Nevada City, CA 95959-2920 | 2008-04-24 |
| 1871712422 | Jan Daniel Frankenberger | Counselor | 727 Zion St, Nevada City, CA 95959-2920 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1699376210 | Michele Tsihlas | Health Educator | 18411 Tyler Foote Road, Nevada City, CA 95959 | 2020-11-02 |
| 1649835380 | Jared Shawn Dubose | Counselor | 24077 Ca 49, Nevada City, CA 95959 | 2019-05-08 |
| 1447755590 | Maria Scarano | Chiropractor | 513 Searls Ave, Unit 8, Nevada City, CA 95959 | 2018-03-29 |
| 1922559020 | Megan Allen | Counselor | 985 Helling Way, Nevada City, CA 95959 | 2016-10-24 |
| 1417331885 | Karla Diane Moore Pinola | Counselor | 150 Bost Avenue, Nevada City, CA 95959 | 2015-07-16 |
| 1700212263 | Victoria Moran | Marriage & Family Therapist | 206 Sacramento St Ste 203, Nevada City, CA 95959 | 2013-09-16 |
| 1528308905 | Justin Burkett | Acupuncturist | 101 Providence Mine Rd Ste 105b, Nevada City, CA 95959 | 2013-02-22 |
| 1114276623 | Michelle Dion Young | Case Manager/Care Coordinator | 138 New Mohawk #200, Nevad City, CA 95959 | 2012-08-30 |
| 1750668497 | Rachael Courtier | Social Worker | Sierra Family Medical Clinic, 15301 Tyler Foote Road, Nevada City, CA 95959 | 2011-11-09 |
| Find all providers in zip 95959 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417331885 | Karla Diane Moore Pinola | Counselor | 150 Bost Avenue, Nevada City, CA 95959 | 2015-07-16 |
| 1134352974 | Common Goals Inc. | Counselor | 727 Zion Street Plaza, Nevada City, CA 95959 | 2009-08-27 |
| 1639399926 | Donna Omo | Counselor | 727 Zion St Plaza, Nevada City, CA 95959 | 2007-04-27 |
| 1801493341 | Thomas J Burnett | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2020-10-07 |
| 1740822154 | Sandra N Marra | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2019-10-17 |
| 1750922456 | Alix M Andersen | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2019-10-03 |
| 1750863676 | Amy Cunag | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2018-09-06 |
| 1548775125 | James E Johnson | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2017-12-05 |
| 1578005393 | Jeffery Allan Johnson | Counselor | 145 Bost Ave, Nevada City, CA 95959-3249 | 2016-11-10 |
| 1750709499 | Kasha Sarah Kiley | Counselor | 103 Providence Mine Rd, Suite 101, Nevada City, CA 95959-2941 | 2014-03-31 |
| Find all providers in NEVADA CITY | ||||
| City | NEVADA CITY |
| Zip Code | 95959 |
Please comment or provide details below to improve the information on COMMON GOALS.
| 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.