NPIMap

Organization Active NPI

Lake County Community Action Agency

  • Community/Behavioral Health Agency
  • Clearlake, CA
National Provider Identifier
1235464496
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
170010BN Issued in CA
Legal business name
LAKE COUNTY COMMUNITY ACTION AGENCY
Doing business as
New Beginnings Highlands High School
Practice address
15850 A Dam Road
Clearlake, CA 95422
Phone
(707) 994-6447
Fax
(707) 994-1875
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Mrs. Georgina Lehne
Title
Executive Director
Phone
(707) 995-2920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 170010BN CA Primary

Addresses

Primary practice location

15850 A Dam Road
Clearlake, CA 95422

Mailing address

15312 Lakeshore Drive
PO Box 969
Clearlake, CA 95422
Phone (707) 995-2920

Other identifiers 1

IdentifierTypeStateIssuer
014651850OtherCACOMMUNITY BEHAVIORAL HEALTH

Other names 1

  • New Beginnings Highlands High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake County Community Action Agency5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1235464496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 LAKESHORE DRIVE",
            "address_2": "PO BOX 969",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "95422",
            "telephone_number": "707-995-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 A DAM ROAD",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "95422",
            "telephone_number": "707-994-6447",
            "fax_number": "707-994-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "LEHNE",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-995-2920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "170010BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "014651850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings Highlands High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearlake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.