NPIMap

Organization Active NPI

Riverside Co. Latino Commission on Alcohol and Drug Abuse SVCS, Inc.

Doing business as Latino Commission Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Coachella, CA
National Provider Identifier
1003141755
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
330037DN Issued in CA
Legal business name
RIVERSIDE CO. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SVCS, INC.
Doing business as
Latino Commission Counseling Center
Practice address
1612 1St St
Coachella, CA 92236-1407
Phone
(760) 398-9000
NPI assigned
Oct 14, 2009
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Leonel Contreras, CAS II
Title
Executive Director
Phone
(760) 398-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 330037DN CA Primary

Addresses

Primary practice location

1612 1St St
Coachella, CA 92236-1407

Mailing address

1612 1St St
Coachella, CA 92236-1407
Phone (760) 398-9000

Other names 1

  • Latino Commission Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Latino Commission on Alcohol Drug Abuse Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1612 1st St
Coachella, CA 92236
Phone (760) 398-9000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1003141755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 1ST ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361407",
            "telephone_number": "760-398-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 1ST ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361407",
            "telephone_number": "760-398-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CO. LATINO COMMISSION ON ALCOHOL AND DRUG ABUSE SVCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-398-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS II"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "330037DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latino Commission Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Latino Commission Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.