Jamaica Blossom Bartz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2413 2ND St
Eureka, CA 95501-0811

Phone

(707) 269-9590

Fax

(707) 444-8012

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waterfront Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Eureka, CA
  • NPI 1417307125
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2021.

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1558021808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 ANDERSON LN",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955036102",
            "telephone_number": "707-476-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 2ND ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010811",
            "telephone_number": "707-269-9590",
            "fax_number": "707-444-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "JAMAICA",
        "middle_name": "BLOSSOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey H Barrett, RN
• Katharina Anne Barrett, CASE MANAGER
• Peter Henry Barrett
• Brittnay Bartges
• Wayne Joseph Barton, RN
• Roberta Ainslie Basist, N.P.
• Rachel Bass, ASW
• Nicole Bassuk
• Theresa Marie Bates
• Mandi Lisette Battles, PA-C

• All providers in Eureka, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.