Active NPI
Zona Seca Youth and Family Treatment Center
- Addiction (Substance Use Disorder) Counselor
- Lompoc, CA
National Provider Identifier
1205970266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 014619
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryNPI 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.