Crisis Intervention Specialist

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CRISIS INTERVENTION SPECIALIST

Practice address

101 Cirby Hills Dr
Roseville, CA 95678-4360

Phone

(530) 401-3894

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Grant Adorador

Title

Crisis Counselor

Phone

(530) 401-3894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063545531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 SIERRA ESTATES DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956029401",
            "telephone_number": "530-401-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIRBY HILLS DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956784360",
            "telephone_number": "530-401-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS INTERVENTION SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADORADOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CRISIS COUNSELOR",
        "authorized_official_telephone_number": "530-401-3894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeannette Crockwell, MA
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) 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.