NPIMap

Organization Active NPI

Humboldt County Behavioral Health

Doing business as Comprehensive Community Treatment (CCT)

  • Community/Behavioral Health Agency
  • Eureka, CA
National Provider Identifier
1508416322
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUMBOLDT COUNTY BEHAVIORAL HEALTH
Doing business as
Comprehensive Community Treatment (CCT)
Practice address
2933 H St
Eureka, CA 95501-4407
Phone
(707) 268-2900
NPI assigned
Sep 13, 2019
Last updated
Jun 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Emi Botzler-Rogers, LMFT
Title
BH Director
Phone
(707) 268-2990

Specialties & licenses 1

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

Addresses

Primary practice location

2933 H St
Eureka, CA 95501-4407

Mailing address

720 Wood St
Eureka, CA 95501-4413

Other identifiers 1

IdentifierTypeStateIssuer
00001205MedicaidCA

Other names 1

  • Comprehensive Community Treatment (CCT) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humboldt County Mental35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

2933 H St
Eureka, CA 95501
Phone (707) 268-2900

Practitioners & affiliated clinicians

Practitioners 3

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": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1508416322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 H ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014407",
            "telephone_number": "707-268-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT COUNTY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "BOTZLER-ROGERS",
        "authorized_official_first_name": "EMI",
        "authorized_official_title_or_position": "BH DIRECTOR",
        "authorized_official_telephone_number": "707-268-2990",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Community Treatment (CCT)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Community Treatment (CCT)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.