REDWOOD COMMUNITY SERVICES, INC. (NPI# 1164951851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164951851 |
| Entity Type | Organization |
| Organization Name | REDWOOD COMMUNITY SERVICES, INC. |
| Practice Address |
2426 6th St Eureka CA 95501 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7072729913 |
| Mailing Telephone | 7074672010 |
| Mailing Fax Number | 7074624931 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MRS. VICTORIA JERUSHA KELLY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7074672010 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| RCS - BHS Adult Out-Patient | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2426 6th St, Eureka, CA 95501 | 7072729913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1326305152 | Redwood Community Services, Inc. | Case Management | 310 3rd St, Eureka, CA 95501-0492 | 2012-04-18 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1285772251 | Redwood Community Services, Inc. | Marriage & Family Therapist | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-02-02 |
| 1174661284 | Redwood Community Services, Inc. | Marriage & Family Therapist | 99 S Humboldt St, Willits, CA 95490-3509 | 2007-02-01 |
| 1487172375 | Redwood Community Services, Inc. | Case Management | 320 1st St, Lakeport, CA 95453-4706 | 2017-08-31 |
| 1578085163 | Redwood Community Services, Inc. | Case Management | 7690 East Rd, Redwood Valley, CA 95470 | 2017-07-14 |
| 1477075067 | Redwood Community Services, Inc. | Case Management | 150 Gibson St, Ukiah, CA 95482-3941 | 2017-07-14 |
| 1285187526 | Redwood Community Services, Inc. | Case Management | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-08-03 |
| 1427401439 | Redwood Community Services, Inc. | Case Management | 780 S Dora St, Ukiah, CA 95482-5348 | 2016-07-14 |
| Street Address |
2426 6TH ST |
| 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 |
| 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 |
| 1205233186 | Katie Woerner | Counselor | 427 F St Ste 229, Eureka, CA 95501 | 2014-11-20 |
| 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 |
| 1134353402 | Humboldt County Mental Health | Community/Behavioral Health | 638 West Clark Street, Eureka, CA 95501 | 2009-05-14 |
| 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 |
| 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.