NPIMap

Organization Active NPI

Humboldt Senior Resource Center Incorporated

Doing business as HSRC Behavioral Health

  • Adult Mental Health Clinic/Center
  • Arcata, CA
National Provider Identifier
1356599278
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED
Doing business as
HSRC Behavioral Health
Practice address
3770 Janes Rd
Arcata, CA 95521-4744
Phone
(707) 443-9747
Fax
(707) 443-7277
NPI assigned
Sep 4, 2008
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HUMBOLDT SENIOR RESOURCE CENTER INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Melissa Hooven
Title
Chief Executive Officer
Phone
(707) 443-9747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CA
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

3770 Janes Rd
Arcata, CA 95521-4744

Mailing address

1910 California St
Eureka, CA 95501-2870
Phone (707) 443-9747

Other names 1

  • HSRC Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105001210 CA Part B Supplier - Clinic/Group Practice 6305235755 Receives reassigned benefits from 4 practitioners
Practice locations: Eureka, CA

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Senior Resource Center Incorporated4 organizations share this tax ID, including this one
Part of
Humboldt Senior Resource Center Incorporated

Other organizations with this tax ID 3

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

Locations

427 F St
Ste 212
Eureka, CA 95501
Phone (707) 443-9747

626 H St
Eureka, CA 95501
Phone (707) 443-9747

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1356599278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012870",
            "telephone_number": "707-443-9747",
            "fax_number": "707-443-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214744",
            "telephone_number": "707-443-9747",
            "fax_number": "707-443-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMBOLDT SENIOR RESOURCE CENTER INCORPORATED",
        "enumeration_date": "2008-09-04",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "HOOVEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-443-9747"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSRC Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.