NPIMap

Organization Active NPI

The Collaborative Village of Professional Clinical Counselors, Inc

Doing business as It takes the Village, Inc

  • Mental Health Counselor
  • El Dorado Hills, CA
National Provider Identifier
1093138661
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE COLLABORATIVE VILLAGE OF PROFESSIONAL CLINICAL COUNSELORS, INC
Doing business as
It takes the Village, Inc
Practice address
4987 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9364
Phone
(916) 365-2411
Fax
(916) 404-0322
NPI assigned
Feb 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Marcia Hiatt
Title
Bookkeeper
Phone
(916) 213-2241

Specialties & licenses 1

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

Addresses

Primary practice location

4987 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9364

Mailing address

4987 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9364
Phone (916) 365-2411

Other names 1

  • It takes the Village, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1150 Suncast Ln
Ste 2
El Dorado Hills, CA 95762
Phone (916) 213-2241

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1093138661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629364",
            "telephone_number": "916-365-2411",
            "fax_number": "916-404-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629364",
            "telephone_number": "916-365-2411",
            "fax_number": "916-404-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLLABORATIVE VILLAGE OF PROFESSIONAL CLINICAL COUNSELORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-01",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "916-213-2241"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "It takes the Village, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "It takes the Village, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.