VALLEY COMMUNITY COUNSELING SERVICES, INC (NPI# 1053535062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053535062 |
Entity Type | Organization |
Organization Name | VALLEY COMMUNITY COUNSELING SERVICES, INC |
Practice Address |
1300 W Lodi Ave Ste G-2 Lodi CA 95242-3000 |
Practice Telephone | 2099564240 |
Practice Fax Number | 2099564245 |
Mailing Telephone | 2099564240 |
Mailing Fax Number | 2099564245 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. SUE SUTHERLAND (FISCAL MANAGER) |
Authorized Official Telephone | 2099564240 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760660591 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 110 N Sherman Ave, Manteca, CA 95336-4715 | 2008-02-04 |
1033237425 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 6707 Embarcadero Dr, Stockton, CA 95219-3382 | 2007-03-26 |
1629191978 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 19 E 6th St, Tracy, CA 95376-4107 | 2007-04-09 |
1811010267 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 129 E Center St, Suite 3, Manteca, CA 95336-4648 | 2007-04-09 |
Street Address |
1300 W LODI AVE STE G-2 |
City | LODI |
State | CA |
Zip Code | 95242-3000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104829431 | Kevin Irving Stroh | Podiatrist | 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3037 | 2005-05-31 |
1316483803 | Anisha Ranchhod Dds, Inc. | Clinic/Center | 1300 W Lodi Ave, Suite M, Lodi, CA 95242-3000 | 2017-01-09 |
1336526045 | Michelle Otts | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2015-05-01 |
1962743906 | Alexander Scott Malm | Counselor | 1300 W Lodi Ave, G-2, Lodi, CA 95242-3000 | 2013-03-14 |
1619243763 | Preferred Prosthetics Inc | Prosthetic/Orthotic Supplier | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2012-03-22 |
1275837742 | Marshall E. Gomes | Dentist | 1300 W Lodi Ave, Suite N, Lodi, CA 95242-3000 | 2010-12-27 |
1881820751 | Karen Marie Rangel | Counselor | 1300 W Lodi Ave, Ste-g-2, Lodi, CA 95242-3000 | 2009-06-05 |
1417183385 | Alex R Anderson | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2009-06-05 |
1942445440 | David R. Vera Sr. | Orthotist | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2008-12-11 |
1851515522 | Michaela Jensen | Marriage & Family Therapist | 1300 W Lodi Ave, Ste G-2, Lodi, CA 95242-3000 | 2007-04-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
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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 |
---|---|---|---|---|
1497184238 | Share Homes | Community/Behavioral Health | 210 N School St, Lodi, CA 95240-2122 | 2013-11-02 |
1891919163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 458 Almond Dr, Lodi, CA 95240 | 2007-04-11 |
1548663362 | Holt Counseling Center | Community/Behavioral Health | 315 W Pine St, Ste 3, Lodi, CA 95240-2047 | 2014-10-07 |
1770916231 | Behavioral Learning Associates | Community/Behavioral Health | 116 Central Ave, Lodi, NJ 07644-3016 | 2013-08-19 |
1477809689 | M&m Family Counseling Services | Community/Behavioral Health | 1213 W Lockeford St, Lodi, CA 95240-1635 | 2012-07-25 |
1376815282 | Healthy Connections, Inc. | Community/Behavioral Health | 1235 W Vine St, Suite 20, Lodi, CA 95240-5144 | 2012-02-08 |
1700919206 | Stanislaus County | Community/Behavioral Health | 12755 N Highway 88, Lodi, CA 95240-9323 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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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.