SUBOXONE TREATMENT AND COUNSELING SERVICES (NPI# 1073938098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073938098 |
| Entity Type | Organization |
| Organization Name | SUBOXONE TREATMENT AND COUNSELING SERVICES |
| Other Organization Name | STACS |
| Practice Address |
1901 Cleveland Ave Suite 9 Santa Rosa CA 95401-4282 |
| Practice Telephone | 7075761919 |
| Practice Fax Number | 7075771852 |
| Mailing Telephone | 7075761919 |
| Mailing Fax Number | 7075771852 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | MR. LEE R TILLMAN (PRESIDENT) |
| Authorized Official Telephone | 7075761919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| STACS | Other Name - Individual/Organization |
| Street Address |
1901 CLEVELAND AVE SUITE 9 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649361668 | John Parsons Hibbard | Internal Medicine | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2006-09-27 |
| 1033689765 | Alexander Cory French | Counselor | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2018-11-26 |
| 1477003515 | George Flores | Counselor | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2016-10-13 |
| 1780030858 | Robin Anne Petersen | Counselor | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2016-05-09 |
| 1427438027 | Bonnie Jeanne Hatt | Physician Assistant | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2015-06-09 |
| 1417352659 | Jesse T Collins | Counselor | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2014-10-30 |
| 1205230992 | Anthony Garcia | Counselor | 1901 Cleveland Ave, Suite 9, Santa Rosa, CA 95401-4282 | 2014-10-09 |
| 1285977405 | Kelli Kathleen Jones | Licensed Vocational Nurse | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2013-04-05 |
| 1679827125 | Linda Reed | Registered Nurse | 1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282 | 2012-11-06 |
| 1851644371 | Amanda Johanna Menary | Licensed Psychiatric Technician | 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 | 2012-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1942328869 | Individual's Now, Inc | Case Management | 1700 Yulupa Ave, Santa Rosa, CA 95405-7721 | 2007-03-27 |
| 1881724706 | Face To Face, Sonoma County Aids Network | Case Management | 873 2nd St, Santa Rosa, CA 95404-4621 | 2007-03-07 |
| 1518012020 | Buckelew Programs | Case Management | 2300 Northpoint Parkway, Santa Rosa, CA 95407 | 2007-01-24 |
| 1669802518 | County of Sonoma | Case Management | 3725 Westwind Blvd, Suite 101, Santa Rosa, CA 95403-9081 | 2013-11-13 |
| 1851617062 | Community Support Networkr | Case Management | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2010-04-13 |
| 1225259179 | Community Support Network | Case Management | 634 Pressley St, Santa Rosa, CA 95403 | 2007-05-01 |
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| 1336747013 | Advanced Healthcare Administration | Case Management | 124 N Tustin Ave, Anaheim, CA 92807-2764 | 2020-10-14 |
| 1760080691 | Primocare, LLC | Case Management | 1 Embarcadero Ctr Ste 400, San Francisco, CA 94111-3619 | 2020-10-13 |
| 1184222044 | Shs Senior Care Los Angeles Inc | Case Management | 8939 S Sepulveda Blvd Ste 350, Los Angeles, CA 90045-3657 | 2020-10-13 |
| 1407463961 | Helping Hands Inspire Happy Hearts, LLC | Case Management | 7083 Hollywood Blvd Ste 4069, Los Angeles, CA 90028-8901 | 2020-09-29 |
| 1487272688 | Caring About Lives | Case Management | 4197 4th Ave, Los Angeles, CA 90008-3901 | 2020-07-14 |
| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
| 1740805100 | Dhruv Manchala | Case Management | 13970 Albar Ct, Saratoga, CA 95070-9718 | 2020-06-11 |
| 1750904876 | Restorative Justice for Oakland Youth | Case Management | 173 Filbert St, Oakland, CA 94607-2531 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.