VICTOR COMMUNITY SUPPORT SERVICES, INC.


Address: 1360 E Lassen Ave, Chico, CA 95973-7823
Phone: 5308930758

VICTOR COMMUNITY SUPPORT SERVICES, INC. (NPI# 1972689370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972689370
Entity Type Organization
Organization Name VICTOR COMMUNITY SUPPORT SERVICES, INC.
Practice Address 1360 E Lassen Ave
Chico
CA 95973-7823
Practice Telephone 5308930758
Practice Fax Number 5308930502
Mailing Telephone 5308930758
Mailing Fax Number 5308930502
Enumeration Date 2006-10-27
Last Update Date 2013-08-29
Authorized Official Name ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING)
Authorized Official Telephone 5302301210
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
261QM0855X CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA LEGAL ENTITY NUMBER 01042 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215579628 Victor Community Support Services, Inc. Clinic/Center 302 Cherry Ln Ste 101&201, Manteca, CA 95337-4311 2019-10-17
1780957282 Victor Community Support Services, Inc. Clinic/Center 600 N Arrowhead Ave Ste 300, San Bernardino, CA 92401-1148 2012-02-14
1629240270 Victor Community Support Services, Inc. Clinic/Center 555 N Perris Blvd Bldg A, Perris, CA 92571-2811 2008-03-24
1366950784 Victor Community Support Services, Inc. Clinic/Center 1105 E Florida Ave, Hemet, CA 92543-4512 2018-01-19
1851670418 Victor Community Support Services, Inc. Clinic/Center 1053 N D St, San Bernardino, CA 92410-3521 2011-08-12
1922306620 Victor Community Support Services, Inc. Community/Behavioral Health 555 N Perris Blvd, Perris, CA 92571-2811 2011-03-03
1417264185 Victor Community Support Services, Inc. Clinic/Center 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 2010-09-01
1669703427 Victor Community Support Services, Inc. Clinic/Center 265 San Jacinto River Rd, Suite 106, 107, 201-207, Lake Elsinore, CA 92530 2010-01-19
1831369099 Victor Community Support Services, Inc. Clinic/Center 15400 Cholame Rd, Victorville, CA 92392-2480 2008-03-04
1932251980 Victor Community Support Services, Inc. Community/Behavioral Health 2495 W March Ln, Suite 125, Stockton, CA 95207-8251 2007-01-18

Office Location

Street Address 1360 E LASSEN AVE
City CHICO
State CA
Zip Code 95973-7823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326646589 Roxanne Mary Vitavec Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2020-10-10
1427662014 Gladys Hernandez Marriage & Family Therapist 1360 E Lassen Ave, Chico, CA 95973-7823 2020-09-01
1053925800 Vanessa Salcido Marriage & Family Therapist 1360 E Lassen Ave, Chico, CA 95973-7823 2020-08-31
1801409073 Megan Grace Cardwell-henry Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2020-08-27
1295348407 Hailey Nantt Marriage & Family Therapist 1360 E Lassen Ave, Chico, CA 95973-7823 2020-08-26
1053960252 Vanessa Hernandez Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2019-09-10
1801445085 Yulisa Rivas-olivares Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2019-09-10
1750930947 Harpreet Kaur Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2019-09-10
1598314478 Alison Leigh Pratt Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2019-09-04
1790331460 Chelsea Meghan Acosta Counselor 1360 E Lassen Ave, Chico, CA 95973-7823 2019-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679066997 Jennifer Ballintine Dietitian, Registered 2511 Navarro Drive, Chico, CA 95973 2018-06-11
1760900724 Judith Mercedes Sneed Counselor 1360 E. Lassen Ave, Chico, CA 95973 2017-08-30
1134643497 Stone Creek Counseling Center, Inc. Counselor 30 Landing Circle, Ste. 200, Chico, CA 95973 2017-07-28
1699298323 Wyatt Pforsich Student in an Organized Health Care Education/Training Program 4038 Augusta Ln, Chico, CA 95973 2017-07-25
1407386006 Martha Martinez Case Manager/Care Coordinator 10 Indepence Circle, Chico, CA 95973 2017-06-15
1871045401 Nupur Group, LLC General Practice 729 Windham Way, Chico, CA 95973 2016-10-31
1922550664 Pablo Zubiate Perfusionist 13999 Limousin Drive, Chico, CA 95973 2016-10-28
1376090944 Sarah Scharf Behavioral Analyst 15 Declaration Dr., Chico, CA 95973 2016-09-01
1336518323 Karie Frances Kaufman Marriage & Family Therapist 60 Landing Cir, Ste 1, Chico, CA 95973 2015-09-19
1013251404 Brigette Marie Brown Speech-Language Pathologist 2870 Cactus Ave, Chico, CA 95973 2012-11-26
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497390280 Environmental Alternatives Clinic/Center 756 East Ave, Chico, CA 95926-1209 2019-11-15
1144784315 Youth for Change Clinic/Center 2580 Sierra Sunrise Ter Ste 100, Chico, CA 95928-8441 2019-01-22
1841453438 Youth for Change Clinic/Center 572 Rio Lindo Ave Ste 104b&d, Chico, CA 95926 2008-07-03
1811506058 Youth for Change Clinic/Center 260 Cohasset Rd, Chico, CA 95926-2282 2020-07-23
1033660642 Youth for Change Clinic/Center 572 Rio Lindo Ave, Suite 206, Chico, CA 95926-1851 2016-10-18
1477856862 Youth for Change Clinic/Center 578 Rio Lindo Ave Ste 3, Chico, CA 95926-1800 2010-12-07
1811159668 Youth for Change Clinic/Center 130 W 6th St, Chico, CA 95928-5508 2008-07-01
1619194438 County of Butte Clinic/Center 3217 Cohasset Rd, Chico, CA 95973-5404 2007-04-20
1528285343 County of Butte Clinic/Center 3217 Cohasset Rd, Chico, CA 95973-5404 2007-04-20
1326265141 County of Butte Clinic/Center 3217 Cohasset Rd, Chico, CA 95973-5404 2007-04-20
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Competitor

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City CHICO
Zip Code 95973

Improve Information

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Dataset Information

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.

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