ENCOMPASS COMMUNITY SERVICES (NPI# 1972930097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972930097 |
| Entity Type | Organization |
| Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Other Organization Name | TRANSITION AGE YOUTH PROGRAM (TAY) |
| Practice Address |
530 Ocean St Ste B Santa Cruz CA 95060-6628 |
| Mailing Address |
542 Ocean St Ste K Santa Cruz CA 95060-6622 |
| Practice Telephone | 8312263536 |
| Practice Fax Number | 8314590665 |
| Mailing Telephone | 8314590444 |
| Mailing Fax Number | 8314590665 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MONICA MARTINEZ (CEO) |
| Authorized Official Telephone | 8314691700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Transition Age Youth Program (TAY) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1114225448 | Encompass Community Services | Community/Behavioral Health | 165 Harkins Slough Rd, Watsonville, CA 95076-4124 | 2011-03-10 |
| 1811175201 | Encompass Community Services | Clinic/Center | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2008-02-07 |
| 1538385562 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 125 Rigg St, Santa Cruz, CA 95060-4203 | 2007-04-18 |
| 1891911830 | Encompass Community Services | Substance Abuse Rehabilitation Facility | 161 Miles Ln, Watsonville, CA 95076-3127 | 2007-04-18 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1760608707 | Encompass Community Services | Community/Behavioral Health | 585 Auto Center Dr Ste B, Watsonville, CA 95076-3764 | 2007-04-18 |
| 1447474853 | Encompass Community Services | Clinic/Center | 941 El Dorado Ave, Santa Cruz, CA 95062-2863 | 2007-04-13 |
| 1174746408 | Encompass Community Services | Community Based Residential Treatment Facility, Mental Illness | 3035 Prather Ln, Santa Cruz, CA 95065-1801 | 2007-04-11 |
| 1659594547 | Encompass Community Services | Community/Behavioral Health | 241 E Lake Ave, Watsonville, CA 95076-4717 | 2007-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ENCOMPASS COMMUNITY SERVICES | 380 Encinal St Ste 2000, Santa Cruz, CA 95060-2178 |
| Street Address |
530 OCEAN ST STE B |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-6628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| 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 |
|---|---|---|---|---|
| 1477003937 | Encompass | Community/Behavioral Health | 716 Ocean St Ste 200, Santa Cruz, CA 95060-4034 | 2016-10-09 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1063839330 | Coastline Support, Inc. | Community/Behavioral Health | 1509 Seabright Ave., C-1, Santa Cruz, CA 95062 | 2014-03-25 |
| 1710238662 | Family Services Agency | Community/Behavioral Health | 527 Windham St, Santa Cruz, CA 95062-2461 | 2012-10-01 |
| 1790957355 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 1817 Soquel Ave, Santa Cruz, CA 95062-1307 | 2008-03-24 |
| 1134318967 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 415 Walnut Ave, Santa Cruz, CA 95060-3633 | 2007-10-17 |
| 1073702890 | Santa Cruz Community Counseling Center, Inc. | Community/Behavioral Health | 300 La Fonda Ave, Santa Cruz, CA 95062-1431 | 2007-10-17 |
| 1942426986 | Encompass Community Services | Community/Behavioral Health | 716 Ocean St, Ste 170, 200, 230, Santa Cruz, CA 95060-4032 | 2007-04-18 |
| 1083838767 | Volunteer Centers of Santa Cruz | Community/Behavioral Health | 1010 Emeline Ave, Santa Cruz, CA 95060-1913 | 2007-04-12 |
| 1083737167 | Parents Center | Community/Behavioral Health | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2007-04-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on ENCOMPASS COMMUNITY SERVICES.
| 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.