NPIMap

Organization Active NPI

Common Goals

  • Addiction (Substance Use Disorder) Counselor
  • Nevada City, CA
National Provider Identifier
1467717249
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COMMON GOALS
Practice address
727 Zion St
Nevada City, CA 95959-2920
Phone
(530) 265-2914
Fax
(530) 265-2974
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Mr. Harold Joseph Bordenave III, CSAC
Title
Drug Counselor
Phone
(530) 344-6457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

727 Zion St
Nevada City, CA 95959-2920

Mailing address

727 Zion St
Nevada City, CA 95959-2920
Phone (530) 265-2914

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherCAN/A

National Provider Directory

National Provider Directory
Tax ID family
Common Goals Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

727 Zion St
Nevada City, CA 95959
Phone (530) 265-2914

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1467717249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592920",
            "telephone_number": "530-265-2914",
            "fax_number": "530-265-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592920",
            "telephone_number": "530-265-2914",
            "fax_number": "530-265-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GOALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "BORDENAVE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DRUG COUNSELOR",
        "authorized_official_telephone_number": "530-344-6457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "N/A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.