CLEAN PATH RECOVERY, LLC (NPI# 1578067625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578067625 |
| Entity Type | Organization |
| Organization Name | CLEAN PATH RECOVERY, LLC |
| Other Organization Name | CLEAN PATH BEHAVIORAL HEALTH |
| Practice Address |
2201 Kilson Dr Santa Ana CA 92707-2918 |
| Mailing Address |
Po Box 3211 Newport Beach CA 92659-0855 |
| Practice Telephone | 9497347432 |
| Mailing Telephone | 9497347432 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | LEE HEILIGMAN (CEO) |
| Authorized Official Telephone | 9492589219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Clean Path Behavioral Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2205 Kilson Dr, Santa Ana, CA 927072918 | 9497347432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784319 | Clean Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 929 S Townsend St, Santa Ana, CA 92704-2925 | 2020-06-08 |
| 1043629173 | Clean Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 2265 Pomona Ave Unit A, Costa Mesa, CA 92627-2938 | 2014-08-02 |
| Street Address |
2201 KILSON DR |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92707-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104349091 | Adrianna Marie Brandon | Marriage & Family Therapist | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2017-07-21 |
| 1962009100 | Lori Marie Matovski | Marriage & Family Therapist | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2020-10-01 |
| 1538785266 | Lydia Padilla | Counselor | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2020-06-18 |
| 1346861010 | Debbie Standingwater | Social Worker | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2020-05-04 |
| 1538793286 | Jennifer Lynn Shea-evans | Counselor | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2020-03-02 |
| 1528601333 | Cierra Cherie Stivers | Counselor | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2019-10-24 |
| 1720620164 | Maritza Nogueda | Licensed Vocational Nurse | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2019-10-16 |
| 1316596752 | Jazmin Terrazas | Emergency Medical Technician, Basic | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2019-09-09 |
| 1396392908 | Allison L Johns | Behavior Technician | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2019-08-20 |
| 1528614344 | Ariane Lauren Merkel | Licensed Vocational Nurse | 2201 Kilson Dr, Santa Ana, CA 92707-2954 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743301 | Nestor Carcache | Marriage & Family Therapist | 2201 Kilson Ave, Santa Ana, CA 92707 | 2019-08-01 |
| 1184113292 | Ma Nehemiah Valencia Galindo | Nurse Practitioner | 201 E. Sandpointe Ave, Suite 600, Santa Ana, CA 92707 | 2018-05-03 |
| 1780089565 | Raymond Nambar | Registered Nurse | 1030 W. Warner Ave., Santa Ana, CA 92707 | 2014-10-23 |
| 1366733073 | Yellowstone Women's First Step House, Inc. | Substance Abuse Rehabilitation Facility | 1621 Indus Street, Santa Ana Heights, CA 92707 | 2011-04-28 |
| 1972809051 | American Logistics Company, LLC | Transportation Broker | 530 W Dyer Rd, Santa Ana, CA 92707 | 2011-02-07 |
| 1972807022 | Faraz Valaie | Pediatrics | 15 Macarthur Place, #601, Santa Ana, CA 92707 | 2011-01-04 |
| 1073815353 | Alicia Tokunaga | Physician Assistant | 2621 S Bristol St #203, Santa Ana, CA 92707 | 2010-11-18 |
| 1518279017 | Laura Reynoso | Case Manager/Care Coordinator | 2416 S Main St., Santa Ana, CA 92707 | 2010-07-13 |
| 1477705671 | Vanessa E. Carmona | Counselor | 2416 S. Main St, Suite B, Santa Ana, CA 92707 | 2008-10-21 |
| 1144379785 | Community Dental Services | Dentist | 2 Macarthur Place, Santa Ana, CA 92707 | 2007-01-10 |
| Find all providers in zip 92707 | ||||
| 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.