HUMBOLDT COUNTY MENTAL HEALTH (NPI# 1134353402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134353402 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT COUNTY MENTAL HEALTH |
| Other Organization Name | FOSTER CARE BEHAVIORAL HEALTH EXPANSION - WEST CLARK STREET |
| Practice Address |
638 West Clark Street Eureka CA 95501 |
| Mailing Address |
720 Wood St Eureka CA 95501-4413 |
| Practice Telephone | 7072682990 |
| Mailing Telephone | 7072682990 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | KAROLYN STEIN (MENTAL HEALTH BRANCH DIRECTOR) |
| Authorized Official Telephone | 7072682990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Foster Care Behavioral Health Expansion - West Clark Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700904547 | Humboldt County Mental Health | Community/Behavioral Health | 674 Allard Ave, Eureka, CA 95503-5857 | 2007-03-27 |
| 1679691315 | Humboldt County Mental Health | Community/Behavioral Health | 2004 Harrison Ave, Eureka, CA 95501-3212 | 2007-03-27 |
| 1174642664 | Humboldt County Mental Health | Community/Behavioral Health | 2944 D St, Eureka, CA 95501-4349 | 2007-03-28 |
| 1356460760 | Humboldt County Mental Health | Community/Behavioral Health | 1105 6th St, Suite A, Eureka, CA 95501-1162 | 2007-03-28 |
| 1336267095 | Humboldt County Mental Health | Community/Behavioral Health | 720 Wood St, Eureka, CA 95501-4413 | 2007-03-27 |
| 1164540845 | Humboldt County Mental Health | Community/Behavioral Health | 134 D St, Suite 301, Eureka, CA 95501-0455 | 2007-03-27 |
| Street Address |
638 WEST CLARK STREET |
| City | EUREKA |
| State | CA |
| Zip Code | 95501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| 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 |
|---|---|---|---|---|
| 1720604226 | Healing Journey Psychiatry Pllc | Community/Behavioral Health | 99 Mills Spring Rd Ste 6, Eureka, MT 59917-9773 | 2020-06-19 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1083266886 | Humboldt County Behavioral Health | Community/Behavioral Health | 2944 D St, Eureka, CA 95501-4349 | 2019-07-11 |
| 1619441615 | County of Humboldt | Community/Behavioral Health | 2004 Harrison Ave Rm 3-4, Eureka, CA 95501-3212 | 2019-01-14 |
| 1134464316 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 101 S. Major Street, Eureka, IL 61530 | 2012-11-29 |
| 1811267917 | Humboldt County Behavioral Health | Community/Behavioral Health | 550 I St, Eureka, CA 95501-1117 | 2012-01-05 |
| 1063657666 | Humboldt County Behavioral Health | Community/Behavioral Health | 231 2nd St, Eureka, CA 95501-0319 | 2008-12-10 |
| 1477763225 | The Redwood Family Institute | Community/Behavioral Health | 935 3rd St, Eureka, CA 95501-0513 | 2007-05-23 |
| 1003024449 | Making Headway Center for Brain Injury Recovery | Community/Behavioral Health | 730 K St, Eureka, CA 95501-1123 | 2007-05-18 |
| 1306051487 | County of Humboldt | Community/Behavioral Health | 231 Second Street, Floor 1, Floor 3, Eureka, CA 95501 | 2007-05-11 |
| Find all providers in EUREKA | ||||
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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.