NPIMap

Organization Active NPI

Humboldt County Behavioral Health

Doing business as Willow Creek Clinic

  • Community/Behavioral Health Agency
  • Willow Creek, CA
National Provider Identifier
1194025890
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUMBOLDT COUNTY BEHAVIORAL HEALTH
Doing business as
Willow Creek Clinic
Practice address
77 Walnut Way
Willow Creek, CA 95573
Phone
(707) 268-2990
NPI assigned
Oct 27, 2010
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Emi Botzler-Rogers, LMFT
Title
Behavioral Health Director
Phone
(707) 268-2990

Specialties & licenses 1

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

Addresses

Primary practice location

77 Walnut Way
Willow Creek, CA 95573

Mailing address

720 Wood St
Eureka, CA 95501-4413

Other names 1

  • Willow Creek Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humboldt County Mental Health35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1194025890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WALNUT WAY",
            "city": "WILLOW CREEK",
            "state": "CA",
            "postal_code": "95573",
            "telephone_number": "707-268-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "BOTZLER-ROGERS",
        "authorized_official_first_name": "EMI",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "707-268-2990",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Creek Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willow Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.