Organization Active NPI

Zona Seca Youth and Family Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Lompoc, CA
National Provider Identifier
1205970266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
014619 Issued in CA
Legal business name
ZONA SECA YOUTH AND FAMILY TREATMENT CENTER
Practice address
218 North I St
Lompoc, CA 93436
Phone
(805) 740-9799
Fax
(805) 740-2799
NPI assigned
Feb 16, 2007
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. William Edward Eldredge, BASW,RAS,NCAC 1
Title
Evening Program Manager
Phone
(805) 740-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 014619 CA Primary

Addresses

Primary practice location

218 North I St
Lompoc, CA 93436

Mailing address

3486 Mesa Circle Drive
211
Lompoc, CA 93436
Phone (805) 733-7517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205970266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 MESA CIRCLE DRIVE",
            "address_2": "211",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-733-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 NORTH I ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-740-9799",
            "fax_number": "805-740-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZONA SECA YOUTH AND FAMILY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EVENING PROGRAM MANAGER",
        "authorized_official_telephone_number": "805-740-9799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BASW,RAS,NCAC 1"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "014619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, 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.