Organization Active NPI

Bayside Counseling Center Inc

  • Mental Health Counselor
  • Roseville, CA
National Provider Identifier
1336093301
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BAYSIDE COUNSELING CENTER INC
Practice address
8303 Sierra College Blvd Ste 146
Roseville, CA 95661-9419
Phone
(916) 746-7235
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Mr. Jeremy James Bouris, LPCNPI 1487245478
Title
Director
Phone
(916) 704-1287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8303 Sierra College Blvd Ste 146
Roseville, CA 95661-9419

Mailing address

8211 Sierra College Blvd Ste 440
Roseville, CA 95661-9406
Phone (916) 746-7235

National Provider Directory

National Provider Directory

Locations

8211 Sierra College Blvd
Ste 440
Roseville, CA 95661

8303 Sierra College Blvd
Ste 146
Roseville, CA 95661
Phone (916) 289-1841

Practitioners 5

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": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1336093301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 SIERRA COLLEGE BLVD STE 440",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619406",
            "telephone_number": "916-746-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SIERRA COLLEGE BLVD STE 146",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619419",
            "telephone_number": "916-746-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "BOURIS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-704-1287",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.