Organization Active NPI

Youth Alliance

  • Mental Health Counselor
  • Hollister, CA
National Provider Identifier
1326546102
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUTH ALLIANCE
Practice address
310 4TH St Ste 101
Hollister, CA 95023-3858
Phone
(831) 636-2853
Fax
(831) 636-2850
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Diane Ortiz, MSW
Title
Executive Director
Phone
(831) 636-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CA Primary

Addresses

Primary practice location

310 4TH St Ste 101
Hollister, CA 95023-3858

Mailing address

PO Box 1291
Hollister, CA 95024-1291
Phone (831) 636-2853

National Provider Directory

National Provider Directory

Locations

310 4th St
Ste 101
Hollister, CA 95023
Phone (831) 636-2853

Practitioners & affiliated clinicians

Practitioners 1

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": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1326546102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1291",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950241291",
            "telephone_number": "831-636-2853",
            "fax_number": "831-636-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 4TH ST STE 101",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233858",
            "telephone_number": "831-636-2853",
            "fax_number": "831-636-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-636-2853",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.