NPIMap

Organization Active NPI

Cac Little Village Center

  • Mental Health Counselor
  • Santa Maria, CA
National Provider Identifier
1154845121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
28718 Issued in CA
Legal business name
CAC LITTLE VILLAGE CENTER
Practice address
219 W Chapel St
Santa Maria, CA 93458-4303
Phone
(805) 614-5151
Fax
(805) 614-5101
NPI assigned
Aug 1, 2017
Organization subpart
Yes
Parent organization
COMMUNITY ACTION COMMISSIONAs reported in NPPES

National Provider Directory

National Provider Directory
Tax ID family
Santiago FCC39 organizations share this tax ID, including this one
Part of
Santiago FCC

Other organizations with this tax ID 38

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

View all 38

Locations

219 W Chapel St
Santa Maria, CA 93458
Phone (805) 614-5151

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Laurel Scott, PSY.D., LMFT
Title
Clinical Services Director
Phone
(805) 260-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 28718 CA Primary

Addresses

Primary practice location

219 W Chapel St
Santa Maria, CA 93458-4303

Mailing address

219 W Chapel St
Santa Maria, CA 93458-4303
Phone (805) 614-5151

Other identifiers 1

IdentifierTypeStateIssuer
1306048905MedicaidCA

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154845121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584303",
            "telephone_number": "805-614-5151",
            "fax_number": "805-614-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584303",
            "telephone_number": "805-614-5151",
            "fax_number": "805-614-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAC LITTLE VILLAGE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION COMMISSION",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "805-260-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "28718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306048905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

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