Organization Active NPI

Denham Counseling Center Inc

  • Clinical Social Worker
  • Vacaville, CA
National Provider Identifier
1366097495
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DENHAM COUNSELING CENTER INC
Practice address
419 Elizabeth St Ste 5
Vacaville, CA 95688-4602
Phone
(707) 447-4453
Fax
(707) 447-1529
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Kathryn R Denham, LCSWNPI 1881730513
Title
Owner
Phone
(707) 447-4453

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

419 Elizabeth St Ste 5
Vacaville, CA 95688-4602

Mailing address

796 Roscommon Dr
Vacaville, CA 95688-9258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200330003753 CA Part B Supplier - Clinic/Group Practice 0749619567 Receives reassigned benefits from 1 practitioner
Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory

Locations

419 Elizabeth St
Ste 5
Vacaville, CA 95688
Phone (707) 399-9540

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": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1366097495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 ROSCOMMON DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST STE 5",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-447-4453",
            "fax_number": "707-447-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENHAM COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-447-4453",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.