FAMILY SERVICE AGENCY (NPI# 1184974347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184974347 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY |
| Practice Address |
104 Walnut Ave Suite 208 Santa Cruz CA 95060-3900 |
| Practice Telephone | 8314239444 |
| Mailing Telephone | 8314239444 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | RITA FLORES (DIRECTOR) |
| Authorized Official Telephone | 8314239444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMF69086 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427380385 | Family Service Agency | Counselor | 943 S Gilbert Rd, Ste. 400, Mesa, AZ 85204-4441 | 2010-02-03 |
| 1740487222 | Family Service Agency | Voluntary or Charitable | 1107 S Gilbert Rd, Suite 104, Mesa, AZ 85204-5232 | 2007-06-28 |
| 1255538732 | Family Service Agency | Voluntary or Charitable | 10220 N 31st Ave Ste 103-105, Phoenix, AZ 85051-9581 | 2007-06-28 |
| 1477597193 | Family Service Agency | Voluntary or Charitable | 2400 N. Central Avenue, Suite 101, Phoenix, AZ 85004-1341 | 2006-06-15 |
| 1942587217 | Family Service Agency | Point of Service | 943 S Gilbert Rd, Mesa, AZ 85204-4441 | 2011-11-14 |
| 1013071232 | Family Service Agency | Community/Behavioral Health | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2006-12-21 |
| 1861561946 | Family Service Agency | Marriage & Family Therapist | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY | 535 Marmion Ave, Youngstown, OH 44502-2323 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF MICHIGAN | 1422 W Court St, Flint, MI 48503-5008 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Washington State Corporations | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Street Address |
104 WALNUT AVE SUITE 208 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730255860 | Rina Weingold | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2006-11-28 |
| 1649803214 | Micah Hammond | Counselor | 104 Walnut Ave, Santa Cruz, CA 95060-3900 | 2020-02-21 |
| 1780196147 | Sue Shotland | Social Worker | 104 Walnut Ave, Santa Cruz, CA 95060-3900 | 2017-10-25 |
| 1457804502 | Ariel Thiermann Stahl | Marriage & Family Therapist | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2016-07-25 |
| 1780067124 | Christiane Hanna Hammerli | Student in an Organized Health Care Education/Training Program | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2015-07-02 |
| 1831572387 | Anudeva Stevens | Student in an Organized Health Care Education/Training Program | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2015-07-01 |
| 1467830588 | Nereida Rodriguez | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2015-05-08 |
| 1215327697 | Stephen Otto | Marriage & Family Therapist | 104 Walnut Ave, 208, Santa Cruz, CA 95060-3900 | 2015-01-23 |
| 1558765545 | Maggie Wilson | Marriage & Family Therapist | 104 Walnut Ave, #208, Santa Cruz, CA 95060-3900 | 2014-10-20 |
| 1184027096 | Shannon Swanston | Counselor | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2014-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1477003937 | Encompass | Community/Behavioral Health | 716 Ocean St Ste 200, Santa Cruz, CA 95060-4034 | 2016-10-09 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1063839330 | Coastline Support, Inc. | Community/Behavioral Health | 1509 Seabright Ave., C-1, Santa Cruz, CA 95062 | 2014-03-25 |
| 1972930097 | Encompass Community Services | Community/Behavioral Health | 530 Ocean St Ste B, Santa Cruz, CA 95060-6628 | 2013-10-03 |
| 1710238662 | Family Services Agency | Community/Behavioral Health | 527 Windham St, Santa Cruz, CA 95062-2461 | 2012-10-01 |
| 1790957355 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 1817 Soquel Ave, Santa Cruz, CA 95062-1307 | 2008-03-24 |
| 1134318967 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 415 Walnut Ave, Santa Cruz, CA 95060-3633 | 2007-10-17 |
| 1073702890 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 300 La Fonda Ave, Santa Cruz, CA 95062-1431 | 2007-10-17 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1083838767 | Volunteer Centers of Santa Cruz | Community/Behavioral Health | 1010 Emeline Ave, Santa Cruz, CA 95060-1913 | 2007-04-12 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.