Active NPI
Dunamis Center, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chico, CA
National Provider Identifier
1063187292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- DUNAMIS CENTER, INC
- Doing business as
- Dunamis Wellness
- Practice address
- 2580 Sierra Sunrise Ter Ste 100
Chico, CA 95928-8441 - Phone
- (530) 338-0087
- Fax
- (530) 745-6053
- NPI assigned
- Aug 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jill Marie Shepherd Piercy Clark, LMFT
- Title
- Owner
- Phone
- (530) 338-0087
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2580 Sierra Sunrise Ter Ste 100
Chico, CA 95928-8441
Mailing address
1465 Victor Ave Ste B
Redding, CA 96003-4856
Phone (530) 338-0087
Other names 1
- Dunamis Wellness
National Provider Directory
National Provider Directory- Tax ID family
- Dunamis Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Redding, CA
- NPI 1578052379
-
- Multi-Specialty Clinic/Center
- Carmel Valley, CA
- NPI 1326622770
Locations
72 Hanover LN Ste B
Chico, CA 95973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630627200000",
"number": "1063187292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 VICTOR AVE STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960034856",
"telephone_number": "530-338-0087",
"fax_number": "530-745-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 SIERRA SUNRISE TER STE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959288441",
"telephone_number": "530-338-0087",
"fax_number": "530-745-6053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNAMIS CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-10",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A",
"authorized_official_last_name": "SHEPHERD PIERCY CLARK",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-338-0087",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dunamis Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dunamis Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.