SHASTA COUNTY (NPI# 1558410811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558410811 |
| Entity Type | Organization |
| Organization Name | SHASTA COUNTY |
| Other Organization Name | HHSA CHILDREN'S BRANCH, MENTAL HEALTH |
| Practice Address |
1550 California St Redding CA 96001-1003 |
| Mailing Address |
Po Box 496048 Redding CA 96049-6048 |
| Practice Telephone | 5302298080 |
| Practice Fax Number | 5302298081 |
| Mailing Telephone | 5302255200 |
| Mailing Fax Number | 5302255977 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | DONNELL EWERT (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Telephone | 5302255200 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SHASTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4580 | 05 |
| Other Name | Type Code |
|---|---|
| HHSA Children's Branch, Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1023395662 | Shasta County | Clinic/Center | 1620/1624 Market St, Redding, CA 96001-1021 | 2011-11-10 |
| 1679850358 | Shasta County | Clinic/Center | 1544 Magnolia Ave, Redding, CA 96001-1515 | 2011-11-09 |
| 1134589260 | Shasta County | Clinic/Center | 1100 Butte St, Redding, CA 96001-0852 | 2016-03-02 |
| 1306206438 | Shasta County | Clinic/Center | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-03-02 |
| 1225495310 | Shasta County | Case Management | 2640 Breslauer Way, Redding, CA 96001-4246 | 2016-01-21 |
| 1841568094 | Shasta County | Clinic/Center | 3711 Oasis Rd, Redding, CA 96003-0397 | 2011-12-02 |
| 1639336860 | Shasta County | Community Based Residential Treatment Facility, Mental Illness | 2640 Breslauer Way, Redding, CA 96001-4246 | 2008-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHASTA COUNTY CHEMICAL PEOPLE INC | 2280 Benton Dr Ste A, Redding, CA 96003-5362 |
| System for Award Management (SAM) Entities | SHASTA COUNTY CHILD ABUSE | 2280 Benton Dr Bldg C Ste B, Redding, CA 96003-5349 |
| System for Award Management (SAM) Entities | SHASTA COUNTY HEAD START CHILD DEVELOPMENT, INC. | 375 Lake Blvd Ste 100, Redding, CA 96003-2504 |
| System for Award Management (SAM) Entities | SHASTA COUNTY OFFICE OF EDUCATION | 1644 Magnolia Ave, Redding, CA 96001-1513 |
| System for Award Management (SAM) Entities | SHASTA COUNTY PROBATION DEPT | 2684 Radio Ln, Redding, CA 96001-4232 |
| System for Award Management (SAM) Entities | SHASTA COUNTY SHERIFF | 300 Park Marina Cir, Redding, CA 96001-0964 |
| Street Address |
1550 CALIFORNIA ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710138 | Scott C Fontana | Social Worker | 1550 California St, Redding, CA 96001-1003 | 2018-05-15 |
| 1447767611 | Camille A Coulter | Counselor | 1550 California St, Redding, CA 96001-1003 | 2018-01-09 |
| 1417091190 | Lynne Marie Jones | Social Worker | 1550 California St, Redding, CA 96001-1003 | 2007-02-16 |
| 1144363185 | Anne Gibbons | Social Worker | 1550 California St, Redding, CA 96001-1003 | 2007-02-15 |
| 1639212681 | Sue Conn Adams | Social Worker | 1550 California St, Redding, CA 96001-1003 | 2007-02-15 |
| 1114060191 | Terry Lynne Mccauley | Marriage & Family Therapist | 1550 California St, Redding, CA 96001-1003 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1861988750 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1786 Vinson Dr, Redding, CA 96003-7950 | 2018-07-03 |
| 1528554417 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 20374 Pickford Way, Redding, CA 96002-9231 | 2018-07-03 |
| 1215441282 | Kings View Corporation | Community/Behavioral Health | 1670 Market St Ste 256, Redding, CA 96001-1046 | 2017-11-28 |
| 1821510652 | County of Shasta | Community/Behavioral Health | 1420 Yuba St, Redding, CA 96001-1032 | 2017-07-13 |
| 1811419658 | County of Shasta | Community/Behavioral Health | 1580 Market St, Redding, CA 96001-1023 | 2017-07-13 |
| 1013438019 | County of Shasta | Community/Behavioral Health | 1411 Yuba St, Redding, CA 96001-1010 | 2017-06-29 |
| 1912262932 | Parent Infant Programs, Inc | Community/Behavioral Health | 2628 Victor Ave, Redding, CA 96002-1454 | 2012-07-05 |
| 1093078586 | Randal Lee Bartholomew | Community/Behavioral Health | 1237 California St., Redding, CA 96001 | 2012-06-19 |
| 1629379011 | Children & Family Services | Community/Behavioral Health | 1313 Yuba St, Redding, CA 96001-1012 | 2010-11-16 |
| 1578685210 | Shasta Treatment Associates | Community/Behavioral Health | 1175 Hartnell Ave, Suite C, Redding, CA 96002-2135 | 2007-04-04 |
| Find all providers in REDDING | ||||
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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.