NPIMap

Organization Active NPI

Humboldt Family Service Center

  • Mental Health Counselor
  • Arcata, CA
National Provider Identifier
1215248000
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30069 Issued in CA
Legal business name
HUMBOLDT FAMILY SERVICE CENTER
Practice address
801 Crescent Way Ste 3
Arcata, CA 95521-6781
Phone
(707) 496-7351
NPI assigned
Jun 25, 2010
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Ms. Paula Ann Nedelcoff, MFT
Title
Director
Phone
(707) 443-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30069 CA Primary

Addresses

Primary practice location

801 Crescent Way Ste 3
Arcata, CA 95521-6781

Mailing address

1802 California St
Eureka, CA 95501-2808
Phone (707) 443-7358

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Family Service Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1215248000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012808",
            "telephone_number": "707-443-7358",
            "fax_number": "707-443-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CRESCENT WAY STE 3",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216781",
            "telephone_number": "707-496-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT FAMILY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "NEDELCOFF",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-443-7358",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "30069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.