NPIMap

Organization Active NPI

Yellowstone Women's First Step House Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Costa Mesa, CA
National Provider Identifier
1023463999
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
300121IN Issued in CA
Legal business name
YELLOWSTONE WOMEN'S FIRST STEP HOUSE INC.
Practice address
2001 Harbor Blvd
Suite 200
Costa Mesa, CA 92626
Phone
(888) 941-9048
Fax
(949) 646-5296
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Benjamin Spencer, RADT 1
Title
Program Manager
Phone
(949) 678-3014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 300121IN CA Primary

Addresses

Primary practice location

2001 Harbor Blvd
Suite 200
Costa Mesa, CA 92626

Mailing address

154 E Bay St
Costa Mesa, CA 92627-2147
Phone (888) 941-9048

National Provider Directory

National Provider Directory
Tax ID family
Yellowstone Women's First Step House 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

154 E Bay St
Costa Mesa, CA 92627
Phone (888) 941-9048

2001 Harbor Blvd
Ste 200
Costa Mesa, CA 92627
Phone (888) 418-4188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1023463999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E BAY ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272147",
            "telephone_number": "888-941-9048",
            "fax_number": "949-646-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HARBOR BLVD",
            "address_2": "SUITE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "888-941-9048",
            "fax_number": "949-646-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE WOMEN'S FIRST STEP HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "949-678-3014",
        "authorized_official_credential": "RADT 1"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "300121IN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.