NPIMap

Organization Active NPI

Santa Cruz Community Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Watsonville, CA
National Provider Identifier
1235328055
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.
Practice address
251 E Lake Ave
Watsonville, CA 95076-4711
Phone
(831) 429-8350
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Carol Pruitt
Title
Program Manager
Phone
(831) 429-8350

Specialties & licenses 1

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

Addresses

Primary practice location

251 E Lake Ave
Watsonville, CA 95076-4711

Mailing address

241 E Lake Ave
Watsonville, CA 95076-4717

Other names 1

  • Youth Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Scccc41 organizations share this tax ID, including this one
Part of
Scccc

Other organizations with this tax ID 40

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

View all 40

Locations

251 E Lake Ave
Watsonville, CA 95076

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1235328055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764711",
            "telephone_number": "831-429-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "831-429-8350"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.