SB CTY DEPT OF BEHAVIORAL WELLNESS (NPI# 1669654166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669654166 |
| Entity Type | Organization |
| Organization Name | SB CTY DEPT OF BEHAVIORAL WELLNESS |
| Other Organization Name | NORTH COUNTY CRISIS SERVICES |
| Practice Address |
212 Carmen Ln Santa Maria CA 93458-7769 |
| Mailing Address |
5385 Hollister Ave Bldg 14 Santa Barbara CA 93111-2389 |
| Practice Telephone | 8057398700 |
| Mailing Telephone | 8059346344 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | STEPHANIE DIAZ (QCM DESIGNEE) |
| Authorized Official Telephone | 8059346344 |
| Authorized Official Credential | MA |
| Is Organization Subpart | Y |
| Parent Organization Name | SB CTY DEPT OF BEHAVIORAL WELLNESS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
CA | Ambulatory Health Care Facilities | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CARES-North | Doing Business As Name - Organization |
| North County Crisis Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940001 | Sb Cty Dept of Behavioral Wellness | Clinic/Center | 222 Carmen Ln, Santa Maria, CA 93458-7775 | 2019-09-10 |
| Street Address |
212 CARMEN LN |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-7769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704106 | Peggy Jo Atwill | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2006-11-08 |
| 1710595814 | Rheemy Le'laya Coleman | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2020-07-15 |
| 1649819806 | Allisson Sixtina Hawkins | Licensed Vocational Nurse | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2020-01-04 |
| 1992341721 | Melessa Jean Dillingham | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2019-11-27 |
| 1255983102 | Yvette Josephine Hernandez | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2019-07-11 |
| 1447815030 | Danielle M Perez | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2019-05-08 |
| 1821578568 | Aysia Reece | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2018-08-21 |
| 1891151619 | Melissa Owens | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2016-01-08 |
| 1295107431 | Shauna Conn | Community Health Worker | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2015-10-27 |
| 1285011759 | Corinne Contreras | Counselor | 212 Carmen Ln, Santa Maria, CA 93458-7769 | 2015-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565900 | Santa Barbara County Department of Behavioral Wellness | Clinic/Center | 222 Carmen Ln Ste 104, Santa Maria, CA 93458-7776 | 2019-12-12 |
| 1972643542 | Santa Barbara County Department of Behavioral Wellness | Clinic/Center | 500 West Foster Road, Santa Maria, CA 93455-3620 | 2007-02-06 |
| 1851940001 | Sb Cty Dept of Behavioral Wellness | Clinic/Center | 222 Carmen Ln, Santa Maria, CA 93458-7775 | 2019-09-10 |
| 1467707331 | Santa Barbara County Department of Behavioral Wellness | Clinic/Center | 124 Carmen Ln, Suite K, Santa Maria, CA 93458-7768 | 2012-07-17 |
| 1962698902 | Santa Barbara County Admhs | Clinic/Center | 2121 Centerpointe Pkwy, Santa Maria, CA 93455-1331 | 2007-09-24 |
| 1255549499 | Transitions - Mental Health Association | Clinic/Center | 117 W Tunnell St, Santa Maria, CA 93458-4037 | 2007-05-20 |
| 1134260524 | Santa Barbara County Admhs | Clinic/Center | 500 W Foster Rd, Santa Maria, CA 93455-3620 | 2007-02-09 |
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| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.