GRANITE WELLNESS CENTERS (NPI# 1750500237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750500237 |
| Entity Type | Organization |
| Organization Name | GRANITE WELLNESS CENTERS |
| Other Organization Name | COMMUNITY RECOVERY RESOURCES |
| Practice Address |
180 Sierra College Dr Grass Valley CA 95945-5768 |
| Mailing Address |
Po Box 6028 Auburn CA 95604-6028 |
| Practice Telephone | 5302739541 |
| Practice Fax Number | 5302737740 |
| Mailing Telephone | 5308785166 |
| Mailing Fax Number | 9167978979 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | ELAINE EBBERT (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 5308785166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 290002AN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDI-CAL | 29AA | 01 |
| Other Name | Type Code |
|---|---|
| Community Recovery Resources | Former Legal Business Name - Organization |
| Grass Valley Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912277864 | Granite Wellness Centers | Community/Behavioral Health | 8491 North Lake Blvd., Kings Beach, CA 96143 | 2012-01-10 |
| 1710257704 | Granite Wellness Centers | Community/Behavioral Health | 12183 Locksley Ln Ste 101-105, Auburn, CA 95602-2004 | 2012-01-06 |
| 1376727693 | Granite Wellness Centers | Community/Behavioral Health | 10015 Palisades Dr, Ste 1, Truckee, CA 96161-1901 | 2007-12-21 |
| 1255526042 | Granite Wellness Centers | Community/Behavioral Health | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2007-09-13 |
| 1376747709 | Granite Wellness Centers | Community/Behavioral Health | 1530 3rd St Ste 106, Lincoln, CA 95648-2500 | 2007-06-11 |
| 1518184621 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2007-04-19 |
| 1235644071 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 145 Bost Ave, Nevada City, CA 95959-3249 | 2017-12-01 |
| 1285860403 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2009-06-02 |
| Street Address |
180 SIERRA COLLEGE DR |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871686105 | Miranda Goldfarb | Social Worker | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2006-09-30 |
| 1396383055 | Sarah L Mancebo | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-12-12 |
| 1932745338 | Elizabeth Ann Johnson | Licensed Vocational Nurse | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-11-20 |
| 1437792363 | Carie Starnes | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-10-23 |
| 1336794593 | Colleen Patricia Henely | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-08-05 |
| 1780236760 | Brittany M Nash | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-07-10 |
| 1265084263 | Christina L Cannon | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2019-07-10 |
| 1306314976 | James Pritchett | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945 | 2018-11-12 |
| 1912489840 | Mandy Bender | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2018-09-06 |
| 1952895120 | Megan Lear | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1114552981 | Spencer Campbell, Marriage and Family Therapist, Prof Corp | Community/Behavioral Health | 908 Taylorville Rd Ste 205, Grass Valley, CA 95949-9632 | 2020-03-11 |
| 1336490069 | Common Goals, Inc. | Community/Behavioral Health | 256 Buena Vista St, Suite 100, Grass Valley, CA 95945-7239 | 2012-09-20 |
| 1326318577 | Sierra Forever Families | Community/Behavioral Health | 345 Crown Point Circle, Suite 300, Grass Valley, CA 95945 | 2012-01-05 |
| 1871702803 | Nevada County Human Services Agency | Community/Behavioral Health | 11148 Butler Rd, Grass Valley, CA 95945-6915 | 2007-05-22 |
| 1013122621 | R.e.a.c.h. Family Counseling | Community/Behavioral Health | 2059 Nevada City Hwy, 104, Grass Valley, CA 95945 | 2007-05-14 |
| 1538717285 | Stanford Youth Solutions | Community/Behavioral Health | 345 Crown Point Cir Ste 300, Grass Valley, CA 95945-9530 | 2019-08-27 |
| 1902268030 | Sierra Mental Wellness Group | Community/Behavioral Health | 145 Glasson Way, Grass Valley, CA 95945-9561 | 2016-03-28 |
| 1952706285 | Common Goals, Inc. | Community/Behavioral Health | 256 Buena Vista St, Suite 100, Grass Valley, CA 95945-7239 | 2014-10-29 |
| 1538342332 | Emq Children & Family Services | Community/Behavioral Health | 714 W Main St, Grass Valley, CA 95945-6410 | 2007-12-14 |
| 1487835930 | Turning Point Community Programs | Community/Behavioral Health | 500 Crown Point Cir, Grass Valley, CA 95945-9514 | 2007-11-26 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on GRANITE WELLNESS CENTERS.
| 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.