NPIMap

Organization Active NPI

Trinity County

Doing business as Trinity County Behavioral Health Services

  • Community/Behavioral Health Agency
  • Weaverville, CA
National Provider Identifier
1245432855
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5300 Issued in CA
Legal business name
TRINITY COUNTY
Practice address
1450 Main St
Weaverville, CA 96093
Phone
(530) 623-1362
Fax
(530) 623-1447
NPI assigned
Jun 5, 2007
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Connie Smith
Title
Director
Phone
(530) 623-8293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5300 CA Primary

Addresses

Primary practice location

1450 Main St
Weaverville, CA 96093

Mailing address

PO Box 1640
Weaverville, CA 96093-1640
Phone (530) 623-1362

Other names 1

  • Trinity County Behavioral Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110322000716 CA Part B Supplier - Clinic/Group Practice 6507850385 Receives reassigned benefits from 4 practitioners
Practice locations: Weaverville, CA

National Provider Directory

National Provider Directory
Tax ID family
Trinity Gen Hosp Radiol8 organizations share this tax ID, including this one
Part of
Trinity Gen Hosp Radiol

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1245432855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1640",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960931640",
            "telephone_number": "530-623-1362",
            "fax_number": "530-623-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MAIN ST",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "96093",
            "telephone_number": "530-623-1362",
            "fax_number": "530-623-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY COUNTY",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-623-8293"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "5300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity County Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity County Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity County Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weaverville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.