NPIMap

Organization Active NPI

Sierra Stonegate

  • Mental Health Counselor
  • Plumas Lake, CA
National Provider Identifier
1336403708
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
57436 Issued in CA
Legal business name
SIERRA STONEGATE
Practice address
3657 Goldenstar St
Plumas Lake, CA 95961-8746
Phone
(916) 475-9586
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Sam Viney, MA, MFT
Title
Therapist
Phone
(916) 475-8590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 57436 CA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 57436 CA Primary

Addresses

Primary practice location

3657 Goldenstar St
Plumas Lake, CA 95961-8746

Mailing address

3657 Goldenstar St
Plumas Lake, CA 95961-8746
Phone (916) 475-9586

Other names 1

  • healthy interventions Other name

National Provider Directory

National Provider Directory
Tax ID family
Healthy Interventions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1336403708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 GOLDENSTAR ST",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959618746",
            "telephone_number": "916-475-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 GOLDENSTAR ST",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959618746",
            "telephone_number": "916-475-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA STONEGATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "VINEY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "916-475-8590",
        "authorized_official_credential": "MA, MFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "57436",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "57436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthy interventions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plumas Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.