State Health Care Dual Diagnosis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STATE HEALTH CARE DUAL DIAGNOSIS

Practice address

4042 S Demaree St
Visalia, CA 93277-9476

Phone

(310) 628-9512

Fax

(818) 392-5025

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Edna Elizabeth MillerNPI 1841527371

Title

President

Phone

(310) 628-9512

Specialties & licenses 1

Addresses

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.

• Edna Miller

  • Professional Counselor
  • Signal Hill, CA
  • NPI 1841527371
  Authorized official Same address or phone

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043265044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 RINALDI ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261651",
            "telephone_number": "310-628-9512",
            "fax_number": "818-392-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "310-628-9512",
            "fax_number": "818-392-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE HEALTH CARE DUAL DIAGNOSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-628-9512",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starbright Hospice Care Southern Inc
• David Thomas Stark, MD, PHD
• Clayton Starnes, DO
• Starr-Wood Cardiac Group of Visalia Medical Corporation, PC
• Phillip Edward Starshak, MD
• Steele's Visions Inc
• Lizandra Itzel Steiner
• Summer Steinert
• Jennifer Steinhauer
• Dina Stengel

• Mental Health Counselor in Visalia, CA
• Providers in Visalia, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.