NPIMap

Organization Active NPI

Santa Cruz Community Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Freedom, CA
National Provider Identifier
1033307186
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.
Practice address
221 Airport Blvd
Freedom, CA 95019-2601
Phone
(831) 429-8350
NPI assigned
Oct 12, 2007
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Carol Pruitt
Title
Program Manager
Phone
(831) 429-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

221 Airport Blvd
Freedom, CA 95019-2601

Mailing address

241 E Lake Ave
Watsonville, CA 95076-4717

Other names 1

  • Youth Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Families Together41 organizations share this tax ID, including this one
Part of
Families Together

Other organizations with this tax ID 40

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

View all 40

Locations

221 Airport Blvd
Freedom, CA 95019

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1033307186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 AIRPORT BLVD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950192601",
            "telephone_number": "831-429-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "831-429-8350"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Freedom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.