NPIMap

Organization Active NPI

Rocklin Community Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Rocklin, CA
National Provider Identifier
1184834277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
310009DN Issued in CA
Legal business name
ROCKLIN COMMUNITY COUNSELING CENTER
Practice address
4240 Rocklin Rd Ste 5
Suite 5
Rocklin, CA 95677-2862
Phone
(916) 315-0468
Fax
(916) 315-0462
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin W O'Sullivan
Title
Executive Director
Phone
(916) 315-0468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 310009DN CA Primary

Addresses

Primary practice location

4240 Rocklin Rd Ste 5
Suite 5
Rocklin, CA 95677-2862

Mailing address

4240 Rocklin Rd
Suite 5
Rocklin, CA 95677-2862
Phone (916) 315-0468

National Provider Directory

National Provider Directory

Locations

4240 Rocklin Rd
Ste 5
Rocklin, CA 95677
Phone (916) 315-0468

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184834277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 ROCKLIN RD",
            "address_2": "SUITE 5",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772862",
            "telephone_number": "916-315-0468",
            "fax_number": "916-315-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 ROCKLIN RD STE 5",
            "address_2": "SUITE 5",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772862",
            "telephone_number": "916-315-0468",
            "fax_number": "916-315-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLIN COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-315-0468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "310009DN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • 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.