NPIMap

Organization Active NPI

Santa Cruz Community Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Soquel, CA
National Provider Identifier
1467640623
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.
Practice address
401 Old San Jose Rd
Soquel, CA 95073-2213
Phone
(831) 429-8350
NPI assigned
Oct 11, 2007
Organization subpart
Yes
Parent organization
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Carol Pruitt
Title
Program Manager
Phone
(831) 429-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

401 Old San Jose Rd
Soquel, CA 95073-2213

Mailing address

709 Mission St
Santa Cruz, CA 95060-3614

Other names 1

  • Youth Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Scccc41 organizations share this tax ID, including this one
Part of
Scccc

Other organizations with this tax ID 40

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

View all 40

Locations

401 Old San Jose Rd
Soquel, CA 95073
Phone (831) 429-3909

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1467640623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD SAN JOSE RD",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732213",
            "telephone_number": "831-429-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "831-429-8350"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.