FRONT ST INC (NPI# 1922242734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922242734 |
Entity Type | Organization |
Organization Name | FRONT ST INC |
Other Organization Name | HOUSING SUPPORT TEAM |
Practice Address |
303 Potrero St Ste 103 Santa Cruz CA 95060-2741 |
Mailing Address |
303 Potrero St Ste 42-103 Santa Cruz CA 95060-2741 |
Practice Telephone | 8314200120 |
Mailing Telephone | 8314200120 |
Mailing Fax Number | 8314200136 |
Enumeration Date | 2009-04-23 |
Last Update Date | 2013-08-02 |
Authorized Official Name | ANN BUTLER (PRESIDENT) |
Authorized Official Telephone | 8314200120 |
Is Organization Subpart | Y |
Parent Organization Name | FRONT ST INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL PRV NBR | 44AV | 01 |
Other Name | Type Code |
---|---|
Housing Support Team | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598984650 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 707 Darwin St, Santa Cruz, CA 95062-2208 | 2007-04-25 |
1760609044 | Front St Inc | Case Management | 400 Foam St, Suite A, Monterey, CA 93940-1449 | 2007-04-19 |
1730306382 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 4795 Opal Cliff Dr, Capitola, CA 95062-5229 | 2007-04-18 |
1710210505 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 399 Drake Ave, Monterey, CA 93940-7504 | 2009-09-10 |
1770703357 | Front St Inc | Case Management | 126 Front St, A, Santa Cruz, CA 95060-4402 | 2007-04-26 |
1982823043 | Front St Inc | Case Management | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2007-04-25 |
1679790208 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 126 Front St, Santa Cruz, CA 95060-4402 | 2007-04-18 |
1841417409 | Front St Inc | Case Management | 155 Willowbrook Dr, Ben Lomond, CA 95005-9714 | 2007-04-18 |
Street Address |
303 POTRERO ST STE 103 |
City | SANTA CRUZ |
State | CA |
Zip Code | 95060-2741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194739748 | Susan Matthews Scott | Marriage & Family Therapist | 303 Potrero St, #29-107, Santa Cruz, CA 95060-2741 | 2006-07-28 |
1386261881 | Katie Baker | Counselor | 303 Potrero St, Santa Cruz, CA 95060-2741 | 2020-06-30 |
1669977054 | Adam James Mcclatchey | Licensed Vocational Nurse | 303 Potrero St, Santa Cruz, CA 95060-2741 | 2018-03-27 |
1689119554 | Santa Cruz Midwives | Midwife | 303 Potrero St, #47-201, Santa Cruz, CA 95060 | 2016-12-30 |
1003286469 | C. Mary Corey | Counselor | 303 Potrero St, #42-103, Santa Cruz, CA 95060-2741 | 2015-09-29 |
1831572650 | Jennifer Jordan-wong | Counselor | 303 Potrero St, #42-103, Santa Cruz, CA 95060-2741 | 2015-06-30 |
1487050498 | Laura Schlatter | Emergency Medical Technician, Paramedic | 303 Potrero St, Suite 42-103, Santa Cruz, CA 95060-2741 | 2014-11-18 |
1669887477 | Amanda Smith | Counselor | 303 Potrero St, Ste. 42-103, Santa Cruz, CA 95060-2741 | 2014-07-01 |
1245645902 | Pamela Stone Chambers | Chiropractor | 303 Potrero St, Suite 16, Santa Cruz, CA 95060-2741 | 2014-06-21 |
1952711871 | Donald Strawhacker | Licensed Vocational Nurse | 303 Potrero St, Suite 102, Santa Cruz, CA 95060-2741 | 2014-04-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
Find all providers in zip 95060 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598984650 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 707 Darwin St, Santa Cruz, CA 95062-2208 | 2007-04-25 |
1174746408 | Encompass Community Services | Community Based Residential Treatment Facility, Mental Illness | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2007-04-11 |
1083969844 | Front Street | Community Based Residential Treatment Facility, Mental Illness | 2115 7th Ave, Santa Cruz, CA 95062-1663 | 2012-07-18 |
1679790208 | Front St Inc | Community Based Residential Treatment Facility, Mental Illness | 126 Front St, Santa Cruz, CA 95060-4402 | 2007-04-18 |
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City | SANTA CRUZ |
Zip Code | 95060 |
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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.