PROVIDENCE COMMUNITY SERVICES, LLC (NPI# 1275696494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275696494 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE COMMUNITY SERVICES, LLC |
| Other Organization Name | COLLEGE COMMUNITY SERVICES |
| Practice Address |
2215 N. Broadway Suite 200 Santa Ana CA 92706-2663 |
| Practice Telephone | 7142216400 |
| Practice Fax Number | 7142216401 |
| Mailing Telephone | 7142216400 |
| Mailing Fax Number | 7142216401 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | MR. KIRK ANDREWS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7142216400 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| College Community Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063729192 | Providence Community Services, LLC | Case Management | 3188 Airway Ave., Suite F., Costa Mesa, CA 92626 | 2010-09-10 |
| Street Address |
2215 N. BROADWAY SUITE 200 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451953 | Nancy Pierson | Counselor | 2215 N. Broadway, Santa Ana, CA 92706 | 2007-03-07 |
| 1205194321 | Ashley Baumeister | Occupational Therapist | 2215 N. Broadway, Santa Ana, CA 92706 | 2012-04-26 |
| 1518294602 | Kaitlin Bagnall | Community/Behavioral Health | 2215 N. Broadway, Santa Ana, CA 92706 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| 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 |
|---|---|---|---|---|
| 1609343078 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2015 W 1st St Ste J, Santa Ana, CA 92703-3516 | 2018-10-24 |
| 1376021345 | Taylyn Rage Sevilla | Community/Behavioral Health | 3509 Ramona Dr, Santa Ana, CA 92707-3955 | 2018-08-01 |
| 1013421643 | Latino Center for Prevention & Action In Health & Welfare | Community/Behavioral Health | 450 W 4th St, Santa Ana, CA 92701-4562 | 2017-11-17 |
| 1326591538 | Path of Light, Inc | Community/Behavioral Health | 3417 S Plaza Dr Apt I, Santa Ana, CA 92704-7259 | 2016-07-25 |
| 1144681503 | Lutheran Social Services of Souterh California | Community/Behavioral Health | 2101 E. 4th Street, Santa Ana, CA 92705 | 2016-03-14 |
| 1922464940 | Orangewood Foundation | Community/Behavioral Health | 1615 E 17th St 2nd Floor, Santa Ana, CA 92705-8529 | 2016-01-06 |
| 1659748218 | Gay &lesbian Community Services Center of Orange County | Community/Behavioral Health | 1605 N Spurgeon St, Santa Ana, CA 92701-2355 | 2015-08-28 |
| 1548640311 | Norooz Clinic Foundation | Community/Behavioral Health | 1560 Brookhollow Dr Ste 212, Santa Ana, CA 92705-5411 | 2015-06-05 |
| 1518392133 | Orange County Health Care Agency | Community/Behavioral Health | 1540 E. First St., Ste. 114, Santa Ana, CA 92702 | 2013-09-13 |
| 1255779989 | Creative Family Support | Community/Behavioral Health | 1851 E 1st St, Suite 900, Santa Ana, CA 92705-4017 | 2013-06-04 |
| Find all providers in SANTA ANA | ||||
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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.