VICTOR COMMUNITY SUPPORT SERVICES, INC (NPI# 1316127434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316127434 |
| Entity Type | Organization |
| Organization Name | VICTOR COMMUNITY SUPPORT SERVICES, INC |
| Other Organization Name | VICTOR COMMUNITY SUPPORT SERVICES, GRASS VALLEY |
| Practice Address |
900 E Main St Suite 201 Grass Valley CA 95945-5853 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 5302732244 |
| Practice Fax Number | 5302735785 |
| Mailing Telephone | 5308930758 |
| Mailing Fax Number | 5308930502 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY # | 01042 | 01 |
| Other Name | Type Code |
|---|---|
| Victor Community Support Services, Grass Valley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003114810 | Victor Community Support Services, Inc | Clinic/Center | 1545 S Holt Rd, Stockton, CA 95206-9618 | 2011-03-02 |
| 1518207885 | Victor Community Support Services, Inc | Clinic/Center | 15400 Cholame Rd, Victorville, CA 92392-2480 | 2013-02-25 |
| 1184926495 | Victor Community Support Services, Inc | Clinic/Center | 222 E Main St, Suite 112, 113, 114, 115, 116, and 117, Barstow, CA 92311-2361 | 2010-11-19 |
| 1184814477 | Victor Community Support Services, Inc | Community/Behavioral Health | 2495 W March Ln, Suite 125 (miocr Program), Stockton, CA 95207-8251 | 2007-08-01 |
| 1558434126 | Victor Community Support Services, Inc | Community/Behavioral Health | 103 D St, Marysville, CA 95901-6017 | 2006-11-15 |
| Street Address |
900 E MAIN ST SUITE 201 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557862 | Christina Lynn Lasich | Physical Medicine & Rehabilitation | 900 E Main St, Suite 200, Grass Valley, CA 95945-5853 | 2005-12-01 |
| 1699389270 | Shannon Casey Welch | Marriage & Family Therapist | 900 E Main St, Grass Valley, CA 95945-5853 | 2020-09-01 |
| 1538682513 | Beth B Kemplin | Counselor | 900 E Main St, Grass Valley, CA 95945-5853 | 2017-07-20 |
| 1356890446 | Cindy Bair | Counselor | 900 E Main St, Grass Valley, CA 95945-5853 | 2016-09-29 |
| 1811312648 | Emily Kistner | Counselor | 900 E Main St, Suite 201, Grass Valley, CA 95945-5853 | 2014-03-03 |
| 1578991865 | Allison Brown Murphy | Marriage & Family Therapist | 900 E Main St, Grass Valley, CA 95945-5853 | 2013-10-23 |
| 1235567678 | Peter J Marvin | Counselor | 900 E Main St, Suite 201, Grass Valley, CA 95945 | 2013-10-22 |
| 1164764981 | Kirsten Loar | Social Worker | 900 E Main St, Suite 201, Grass Valley, CA 95945-5853 | 2013-03-19 |
| 1114270220 | Kelsey Baumstinger | Counselor | 900 E Main St, Suite 201, Grass Valley, CA 95945 | 2012-10-26 |
| 1952619991 | Rachel Anne Pena-roos | Social Worker | 900 E Main St, Suite 201, Grass Valley, CA 95945-5853 | 2010-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| 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 |
|---|---|---|---|---|
| 1114552981 | Spencer Campbell, Marriage and Family Therapist, Prof Corp | Community/Behavioral Health | 908 Taylorville Rd Ste 205, Grass Valley, CA 95949-9632 | 2020-03-11 |
| 1336490069 | Common Goals, Inc. | Community/Behavioral Health | 256 Buena Vista St, Suite 100, Grass Valley, CA 95945-7239 | 2012-09-20 |
| 1326318577 | Sierra Forever Families | Community/Behavioral Health | 345 Crown Point Circle, Suite 300, Grass Valley, CA 95945 | 2012-01-05 |
| 1871702803 | Nevada County Human Services Agency | Community/Behavioral Health | 11148 Butler Rd, Grass Valley, CA 95945-6915 | 2007-05-22 |
| 1013122621 | R.e.a.c.h. Family Counseling | Community/Behavioral Health | 2059 Nevada City Hwy, 104, Grass Valley, CA 95945 | 2007-05-14 |
| 1538717285 | Stanford Youth Solutions | Community/Behavioral Health | 345 Crown Point Cir Ste 300, Grass Valley, CA 95945-9530 | 2019-08-27 |
| 1902268030 | Sierra Mental Wellness Group | Community/Behavioral Health | 145 Glasson Way, Grass Valley, CA 95945-9561 | 2016-03-28 |
| 1952706285 | Common Goals, Inc. | Community/Behavioral Health | 256 Buena Vista St, Suite 100, Grass Valley, CA 95945-7239 | 2014-10-29 |
| 1538342332 | Emq Children & Family Services | Community/Behavioral Health | 714 W Main St, Grass Valley, CA 95945-6410 | 2007-12-14 |
| 1487835930 | Turning Point Community Programs | Community/Behavioral Health | 500 Crown Point Cir, Grass Valley, CA 95945-9514 | 2007-11-26 |
| Find all providers in GRASS VALLEY | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.