Active NPI
BH TC Opco Visalia LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Visalia, CA
National Provider Identifier
1356033443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BH TC OPCO VISALIA LLC
- Practice address
- 137 S Aspen St Ste B
Visalia, CA 93291-5381 - Phone
- (619) 507-6385
- NPI assigned
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad R Engbrecht
- Title
- Chief Development Officer
- Phone
- (858) 254-2510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
137 S Aspen St Ste B
Visalia, CA 93291-5381
Mailing address
7050 Parkway Dr
La Mesa, CA 91942-1535
Phone (858) 254-2510
Other names 1
- Jackson House Visalia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2319256 | BH-TC Opco Visalia | Certificate of waiver | Feb 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
137 S Aspen St
Ste B
Visalia, CA 93291
Phone (559) 336-1776
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1871552281
-
- Psychologist
- La Mesa, CA
- NPI 1326086307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1356033443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 PARKWAY DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421535",
"telephone_number": "858-254-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 S ASPEN ST STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915381",
"telephone_number": "619-507-6385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BH TC OPCO VISALIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "ENGBRECHT",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
"authorized_official_telephone_number": "858-254-2510"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jackson House Visalia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.