COMMUNITY COUNSELING CENTER (NPI# 1730633207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730633207 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTER |
| Practice Address |
1129 Marsh St San Luis Obispo CA 93401-3323 |
| Practice Telephone | 8055437969 |
| Practice Fax Number | 8055430859 |
| Mailing Telephone | 8055437969 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | JAMES LOGAN STATLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8055437969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740482587 | Community Counseling Center | Counselor | 850 Mcallister St, Greenville, MS 38701-5805 | 2007-06-04 |
| 1609920784 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2007-01-23 |
| 1154323566 | Community Counseling Center | Counselor | 4757 Main Ave, Groves, TX 77619-4740 | 2005-08-15 |
| 1417302795 | Community Counseling Center | Clinic/Center | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2016-04-25 |
| 1235507633 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-09-02 |
| 1306231261 | Community Counseling Center | Case Management | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-30 |
| 1568855401 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-17 |
| 1386938231 | Community Counseling Center | Counselor | 7950 Nations Ford Rd, Ste D4, Charlotte, NC 28217-8014 | 2011-06-07 |
| 1184952483 | Community Counseling Center | Marriage & Family Therapist | 515 N Penelope St, Belton, TX 76513-2675 | 2009-11-24 |
| 1316177173 | Community Counseling Center | Community/Behavioral Health | 4810 Wrightsville Ave, Wilmington, NC 28403-6917 | 2009-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING CENTER | 3737 Portland Rd Ne, Salem, OR 97303 |
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING CENTER | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 |
| Virginia Business Entities | COMMUNITY COUNSELING CENTER INC. | 96 Campbell St, Harrisonburg, Virginia 22801-4010 |
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING CENTER OF ASHLAND | 600 Siskiyou Blvd, Ashland, OR 97520 |
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING CENTER OF CENTRAL CONNECTICUT INC. | 53 Muir Ave, Bristol, CT 06010-7215 |
| Indiana Business Entities | COMMUNITY COUNSELING CENTER OF INDIANA, INC. | 6319 Constitution Dr, Ft. Wayne, IN 46804 |
| Street Address |
1129 MARSH ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225411614 | Stephen Theodore Bobey Jr. | Psychologist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-07-02 |
| 1790271427 | Elizabeth Clark | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401 | 2018-07-05 |
| 1740794379 | Caroline Arlene Wales | Counselor | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2017-11-17 |
| 1558872259 | Betty Ann Purify | Student in an Organized Health Care Education/Training Program | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2017-10-20 |
| 1023567963 | Paul White | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-10-03 |
| 1447609904 | Melissa Ann Monji | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-06-06 |
| 1417311267 | Deborah Dueck | Counselor | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-04-07 |
| 1740646264 | Shelley Lynn Shields | Counselor | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-01-13 |
| 1508231705 | Sarah Becker | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-12-14 |
| 1902271141 | Patricia Woodward | Marriage & Family Therapist | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2015-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1912504754 | Transitions Mental Health Association | Community/Behavioral Health | 1750 Bishop St, San Luis Obispo, CA 93401-4691 | 2020-10-05 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1134648603 | County of San Luis Obispo | Community/Behavioral Health | 1499 San Luis Dr, San Luis Obispo, CA 93401-3060 | 2017-09-15 |
| 1366994634 | Central Coast Employee Assistance & Counseling Services | Community/Behavioral Health | 1107 Johnson Ave, San Luis Obispo, CA 93401-3303 | 2016-11-02 |
| 1033574462 | Transitions Mental Health Association | Community/Behavioral Health | 1977 Santa Barbara Avenue, Suite 101, San Luis Obispo, CA 93401-5235 | 2015-12-30 |
| 1407230329 | Sierra Mental Wellness Group | Community/Behavioral Health | 2945 Mcmillan Avenue, #240, San Luis Obispo, CA 93401-6766 | 2015-07-10 |
| 1952736647 | County of San Luis Obispo | Community/Behavioral Health | 801 Grand Ave, San Luis Obispo, CA 93401-2641 | 2013-09-12 |
| 1821383852 | Family Care Network, Inc | Community/Behavioral Health | 2755 Augusta St, San Luis Obispo, CA 93401-5307 | 2011-06-17 |
| 1386855393 | San Luis Obispo County Drug & Alcohol | Community/Behavioral Health | 1028 Pacific St, San Luis Obispo, CA 93401-3651 | 2007-05-24 |
| 1083146237 | Feeling Doctor Psychotherapy, Apc | Community/Behavioral Health | 1985 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2017-03-28 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on COMMUNITY COUNSELING CENTER.
| 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.