AMERICAN INDIAN CHANGING SPIRITS (NPI# 1841539921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841539921 |
| Entity Type | Organization |
| Organization Name | AMERICAN INDIAN CHANGING SPIRITS |
| Practice Address |
2120 W Williams St Building #1 Long Beach CA 90810-3636 |
| Practice Telephone | 5623888118 |
| Mailing Telephone | 5623888118 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | MR. HENRY VAN OUDHEUSDEN (CEO) |
| Authorized Official Telephone | 3106799126 |
| Authorized Official Credential | MA, MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190239AN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369313 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 | 2018-06-08 |
| 1780012674 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St, Building #2, Long Beach, CA 90810-3636 | 2013-10-31 |
| Street Address |
2120 W WILLIAMS ST BUILDING #1 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105197 | Dorcas Gonzalez El | Counselor | 2120 W Williams St, Long Beach, CA 90810-3636 | 2020-08-18 |
| 1265915292 | Rudolph Partida | Counselor | 2120 W Williams St, Long Beach, CA 90810-3636 | 2018-09-14 |
| 1154822518 | Kelly Sims | Counselor | 2120 W Williams St, Long Beach, CA 90810-3636 | 2018-02-21 |
| 1992223671 | Sherry Ann Bradshaw | Counselor | 2120 W Williams St, Long Beach, CA 90810-3636 | 2017-09-01 |
| 1578080461 | Becky Michelle Alaniz | Counselor | 2120 W Williams St, Long Beach, CA 90810-3636 | 2017-08-23 |
| 1780012674 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St, Building #2, Long Beach, CA 90810-3636 | 2013-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609369313 | American Indian Changing Spirits | Substance Abuse Rehabilitation Facility | 2120 W Williams St Bldg 3, Long Beach, CA 90810-3636 | 2018-06-08 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1730623299 | Bpp Lb Recovery, LLC | Substance Abuse Rehabilitation Facility | 1535 E 1st St, Long Beach, CA 90802-5931 | 2016-12-16 |
| 1629439898 | Tranquility Counseling Services | Substance Abuse Rehabilitation Facility | 720 W 4th St Unit 404, Long Beach, CA 90802-2100 | 2016-03-15 |
| 1053784264 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3113 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1033582242 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3115 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1932572146 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3119 E 7th St, Long Beach, CA 90804-4932 | 2015-11-10 |
| 1104299312 | Safe Refuge | Substance Abuse Rehabilitation Facility | 3131 E 7th St, Long Beach, CA 90804-4935 | 2015-11-10 |
| 1811360027 | Safe Refuge | Substance Abuse Rehabilitation Facility | 719 Obispo Ave, Long Beach, CA 90804-5028 | 2015-11-10 |
| 1386017598 | Safe Refuge | Substance Abuse Rehabilitation Facility | 727 Obispo Ave, Long Beach, CA 90804-5027 | 2015-11-10 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
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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.