Scotts Valley Counseling Center

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

42890 Issued in CA

Legal business name

SCOTTS VALLEY COUNSELING CENTER

Practice address

5523 Scotts Valley Dr Ste 108
Scotts Valley, CA 95066-3450

Phone

(408) 568-6476

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Carboni, MA

Title

Director/LMFT

Phone

(408) 568-6476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1306274840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 SCOTTS VALLEY DR STE 108",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663450",
            "telephone_number": "408-568-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 SCOTTS VALLEY DR STE 108",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663450",
            "telephone_number": "408-568-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS VALLEY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "CARBONI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR/LMFT",
        "authorized_official_telephone_number": "408-568-6476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "42890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecile Santiago
• Bacilio Santoyo
• Savannah J. Kim Professional Corporation, Inc.
• Bianca Schmidt, L.AC.
• Rebecca Lynne Schultheis, LMFT
• Scotts Valley Unified School District
• Scotts Valley Veterinary Clinic, Inc.
• Emma Severson
• Jenna Shapiro
• Tiffiny Shellese Shay, A.T.,C., P.T.A.

• Health Maintenance Organization in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.