LAKE COUNTY OFFICE OF EDUCATION (NPI# 1861820979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861820979 |
| Entity Type | Organization |
| Organization Name | LAKE COUNTY OFFICE OF EDUCATION |
| Other Organization Name | CLEARLAKE CREATIVITY SCHOOL |
| Practice Address |
6945 Old Highway 53 Clearlake CA 95422 |
| Mailing Address |
1152 S Main St Lakeport CA 95453-5517 |
| Practice Telephone | 7079959523 |
| Practice Fax Number | 7079959059 |
| Mailing Telephone | 7079959523 |
| Mailing Fax Number | 7079959059 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | BROCK FALKENBERG (SUPERINTENDENT) |
| Authorized Official Telephone | 7072624101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| Clearlake Creativity School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1649609926 | Lake County Office of Education | Local Education Agency (LEA) | 1510 Argonaut Rd, Lakeport, CA 95453-9361 | 2013-11-06 |
| 1275083982 | Lake County Office of Education | Community/Behavioral Health | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-10-05 |
| 1841410594 | Lake County Office of Education | Local Education Agency (LEA) | 1152 South Main Street, Lakeport, CA 95453 | 2007-04-26 |
| 1760525331 | Lake County Office of Education | Local Education Agency (LEA) | 1152 S Main St, Lakeport, CA 95453-5517 | 2007-02-14 |
| Street Address |
6945 OLD HIGHWAY 53 |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952713 | Christina Dytche | Case Manager/Care Coordinator | 6945 Old Highway 53, Clearlake, CA 95422-9381 | 2019-10-03 |
| 1720559461 | Laurel Doyle Bailey | Behavior Technician | 6945 Old Highway 53, Clearlake, CA 95422-9381 | 2018-12-06 |
| 1033699129 | Sherry Bauman | Counselor | 6945 Old Highway 53, Clearlake, CA 95422-9381 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| 1154501047 | Jay El Tillman | Counselor | 6885 Old Hwy 53, Clearlake, CA 95422 | 2007-11-07 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1568891778 | Burns Valley Elementary School | Local Education Agency (LEA) | 3260 Pine Street, Clearlake, CA 95422-7090 | 2013-11-07 |
| 1376972190 | Blue Heron | Local Education Agency (LEA) | 15850 Dam Road Ext, Clearlake, CA 95422-9359 | 2013-11-02 |
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| Find all providers with the same taxonomy | ||||
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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.