HUMBOLDT COUNTY MENTAL HEALTH (NPI# 1700904547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700904547 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT COUNTY MENTAL HEALTH |
| Other Organization Name | PINE GROVE PROGRAM |
| Practice Address |
674 Allard Ave Eureka CA 95503-5857 |
| Mailing Address |
720 Wood St Eureka CA 95501-4413 |
| Practice Telephone | 7072682900 |
| Mailing Telephone | (707) 268-2990 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-06-20 |
| Authorized Official Name | DONNA WHEELER (MENTAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 7072682990 |
| Authorized Official Credential | LCSW |
| 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 | 000001228 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Grove Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134353402 | Humboldt County Mental Health | Community/Behavioral Health | 638 West Clark Street, Eureka, CA 95501 | 2009-05-14 |
| 1679691315 | Humboldt County Mental Health | Community/Behavioral Health | 2004 Harrison Ave, Eureka, CA 95501-3212 | 2007-03-27 |
| 1174642664 | Humboldt County Mental Health | Community/Behavioral Health | 2944 D St, Eureka, CA 95501-4349 | 2007-03-28 |
| 1356460760 | Humboldt County Mental Health | Community/Behavioral Health | 1105 6th St, Suite A, Eureka, CA 95501-1162 | 2007-03-28 |
| 1336267095 | Humboldt County Mental Health | Community/Behavioral Health | 720 Wood St, Eureka, CA 95501-4413 | 2007-03-27 |
| 1164540845 | Humboldt County Mental Health | Community/Behavioral Health | 134 D St, Suite 301, Eureka, CA 95501-0455 | 2007-03-27 |
| Street Address |
674 ALLARD AVE |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| 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 |
|---|---|---|---|---|
| 1720604226 | Healing Journey Psychiatry Pllc | Community/Behavioral Health | 99 Mills Spring Rd Ste 6, Eureka, MT 59917-9773 | 2020-06-19 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1083266886 | Humboldt County Behavioral Health | Community/Behavioral Health | 2944 D St, Eureka, CA 95501-4349 | 2019-07-11 |
| 1619441615 | County of Humboldt | Community/Behavioral Health | 2004 Harrison Ave Rm 3-4, Eureka, CA 95501-3212 | 2019-01-14 |
| 1134464316 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 101 S. Major Street, Eureka, IL 61530 | 2012-11-29 |
| 1811267917 | Humboldt County Behavioral Health | Community/Behavioral Health | 550 I St, Eureka, CA 95501-1117 | 2012-01-05 |
| 1134353402 | Humboldt County Mental Health | Community/Behavioral Health | 638 West Clark Street, Eureka, CA 95501 | 2009-05-14 |
| 1063657666 | Humboldt County Behavioral Health | Community/Behavioral Health | 231 2nd St, Eureka, CA 95501-0319 | 2008-12-10 |
| 1477763225 | The Redwood Family Institute | Community/Behavioral Health | 935 3rd St, Eureka, CA 95501-0513 | 2007-05-23 |
| 1003024449 | Making Headway Center for Brain Injury Recovery | Community/Behavioral Health | 730 K St, Eureka, CA 95501-1123 | 2007-05-18 |
| 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.