NPIMap

Organization Active NPI

County of Lake

  • Community/Behavioral Health Agency
  • Lower Lake, CA
National Provider Identifier
1164265286
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF LAKE
Practice address
9055 Highway 53
Lower Lake, CA 95457
Phone
(707) 274-9101
NPI assigned
Jun 17, 2024
Organization subpart
Yes
Parent organization
COUNTY OF LAKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Elise Jones Ma
Title
Behavioral Health Director
Phone
(707) 274-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9055 Highway 53
Lower Lake, CA 95457

Mailing address

PO Box 1024
Lucerne, CA 95458-1024
Phone (707) 274-9101

Other names 1

  • Lower Lake Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake County Health Services Department12 organizations share this tax ID, including this one
Part of
Lake County Health Services Department

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1164265286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954581024",
            "telephone_number": "707-274-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 HIGHWAY 53",
            "city": "LOWER LAKE",
            "state": "CA",
            "postal_code": "95457",
            "telephone_number": "707-274-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LAKE",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "JONES MA",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "707-274-9101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Lake Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lower Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.