NPIMap

Organization Active NPI

Support Our Students

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1245627793
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
45788 Issued in CA
Legal business name
SUPPORT OUR STUDENTS
Practice address
319 S E St
Santa Rosa, CA 95404-5175
Phone
(707) 364-5430
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Mr. Eric Lofchie, MFT
Title
Executive Director
Phone
(707) 364-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 45788 CA Primary

Addresses

Primary practice location

319 S E St
Santa Rosa, CA 95404-5175

Mailing address

319 S E St
Santa Rosa, CA 95404-5175
Phone (707) 364-5430

National Provider Directory

National Provider Directory

Locations

319 S E St
Santa Rosa, CA 95404
Phone (415) 710-2369

Practitioners & affiliated clinicians

Practitioners 3

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": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1245627793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045175",
            "telephone_number": "707-364-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045175",
            "telephone_number": "707-364-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT OUR STUDENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "LOFCHIE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-364-5430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "45788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.