NPIMap

Organization Active NPI

Open Line - Woodcliff

  • Mental Health Counselor
  • Redding, CA
National Provider Identifier
1083204325
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPEN LINE - WOODCLIFF
Practice address
389 Woodcliff Dr
Redding, CA 96003-2902
Phone
(530) 241-8761
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OPEN LINE GROUP HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Miranda Robinson
Title
Mental Health Director
Phone
(530) 246-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

389 Woodcliff Dr
Redding, CA 96003-2902

Mailing address

PO Box 992197
Redding, CA 96099-2197
Phone (530) 246-7172

National Provider Directory

National Provider Directory
Tax ID family
Open Line - Woodcliff4 organizations share this tax ID, including this one
Part of
Open Line - Woodcliff

Other organizations with this tax ID 3

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

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 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.

  • Julia Dutra
    • Case Manager/Care Coordinator
    • Redding, CA
    • NPI 1396428215
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1083204325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992197",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960992197",
            "telephone_number": "530-246-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 WOODCLIFF DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032902",
            "telephone_number": "530-241-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN LINE - WOODCLIFF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPEN LINE GROUP HOMES, INC.",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "530-246-7172"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.