NPIMap

Organization Active NPI

Humboldt Neurohealth Therapeutic Services

  • Case Manager/Care Coordinator
  • Fortuna, CA
National Provider Identifier
1033090774
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES
Practice address
3429 Renner Dr
Fortuna, CA 95540-3104
Phone
(707) 296-9295
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Jennifer BrownNPI 1568709269
Title
Executive Director
Phone
(707) 296-9295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

3429 Renner Dr
Fortuna, CA 95540-3104

Mailing address

3429 Renner Dr
Fortuna, CA 95540-3104

Other practice location 1

2313 I St
Eureka, CA 95501-4244
Phone (707) 296-9295

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Neurohealth Therapeutic Services2 organizations share this tax ID, including this one
Part of
Humboldt Neurohealth Therapeutic Services

Other organizations with this tax ID 1

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

Locations

3429 Renner Dr
Fortuna, CA 95540
Phone (707) 296-9295

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1033090774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 RENNER DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403104",
            "telephone_number": "707-296-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2313 I St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014244",
            "country_code": "US",
            "telephone_number": "707-296-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-296-9295"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.