GRANITE WELLNESS CENTERS (NPI# 1255526042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255526042 |
| Entity Type | Organization |
| Organization Name | GRANITE WELLNESS CENTERS |
| Other Organization Name | COMMUNITY RECOVERY RESOURCES |
| Practice Address |
730 Sunrise Ave Ste 200 Roseville CA 95661-4549 |
| Mailing Address |
Po Box 6028 Auburn CA 95604-6028 |
| Practice Telephone | 9167823737 |
| Practice Fax Number | 9167823739 |
| Mailing Telephone | 5308785166 |
| Mailing Fax Number | 9167978979 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | ELAINE EBBERT (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 5308785166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 310019EN | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 31AA | 01 |
| Other Name | Type Code |
|---|---|
| Community Recovery Resources | Former Legal Business Name - Organization |
| Roseville Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912277864 | Granite Wellness Centers | Community/Behavioral Health | 8491 North Lake Blvd., Kings Beach, CA 96143 | 2012-01-10 |
| 1710257704 | Granite Wellness Centers | Community/Behavioral Health | 12183 Locksley Ln Ste 101-105, Auburn, CA 95602-2004 | 2012-01-06 |
| 1376727693 | Granite Wellness Centers | Community/Behavioral Health | 10015 Palisades Dr, Ste 1, Truckee, CA 96161-1901 | 2007-12-21 |
| 1376747709 | Granite Wellness Centers | Community/Behavioral Health | 1530 3rd St Ste 106, Lincoln, CA 95648-2500 | 2007-06-11 |
| 1518184621 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 12125 Shale Ridge Ln, Auburn, CA 95602-8880 | 2007-04-19 |
| 1235644071 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 145 Bost Ave, Nevada City, CA 95959-3249 | 2017-12-01 |
| 1285860403 | Granite Wellness Centers | Substance Abuse Rehabilitation Facility | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2009-06-02 |
| 1750500237 | Granite Wellness Centers | Community/Behavioral Health | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2007-04-24 |
| Street Address |
730 SUNRISE AVE STE 200 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780129015 | Jackie Martinez | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-12-22 |
| 1669914180 | Yvette Anderson | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-11-15 |
| 1811439672 | Katie Madaus | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-11-10 |
| 1972059434 | Lisa Plummer | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-08-25 |
| 1366891574 | Taylor Caruso | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-06-08 |
| 1023476728 | Stephanie Sadhu | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-02-09 |
| 1558727297 | Joanne Chastain | Counselor | 730 Sunrise Ave Ste 200, Roseville, CA 95661-4549 | 2016-01-11 |
| 1851782437 | Nyle Sans | Counselor | 730 Sunrise Ave Ste 200, Suites 201, 250, 260, 261, 271, Roseville, CA 95661-4549 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1619593654 | Wellpath Community Care LLC | Community/Behavioral Health | 1130 Conroy Ln Ste 100, Roseville, CA 95661-4154 | 2020-06-24 |
| 1851897870 | Live Better LLC | Community/Behavioral Health | 2277 Highway 36 W Ste 306, Roseville, MN 55113-3830 | 2018-03-30 |
| 1124471107 | Turning Leaf Therapy | Community/Behavioral Health | 2589 Hamline Ave N Ste C, Roseville, MN 55113-3185 | 2016-07-14 |
| 1568817492 | Kirsten Mj Marsh, Ma Lmft, LLC | Community/Behavioral Health | 3101 Old Highway 8 Ste 304b, Roseville, MN 55113-1072 | 2016-04-28 |
| 1245615392 | True North Counseling Clinic LLC | Community/Behavioral Health | 3101 Old Highway 8 Ste 304a, Roseville, MN 55113-1072 | 2015-07-29 |
| 1326420993 | Beloved Recovery | Community/Behavioral Health | 919 Reserve Dr, Suite 125, Roseville, CA 95678-1346 | 2015-06-19 |
| 1497158604 | Uplift Family Services | Community/Behavioral Health | 1624 Santa Clara Dr, Suite 145, Roseville, CA 95661-3554 | 2014-10-01 |
| 1497186225 | Hope and Healing Family Therapy, LLC | Community/Behavioral Health | 2499 Rice St Ste 70, Roseville, MN 55113-3724 | 2013-12-04 |
| 1194080234 | Partners In Recovery | Community/Behavioral Health | 1611 County Road B W, Suite 212, Roseville, MN 55113-5021 | 2012-07-04 |
| 1558644633 | Joining Hands Child and Family Counseling Services, LLC | Community/Behavioral Health | 1711 County Road B W Ste 113s, Roseville, MN 55113-4000 | 2011-09-24 |
| Find all providers in ROSEVILLE | ||||
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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.