NPIMap

Organization Active NPI

Redwood Community Action Agency

Doing business as Youth Services Bureau

  • Case Manager/Care Coordinator
  • Eureka, CA
National Provider Identifier
1578699260
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
REDWOOD COMMUNITY ACTION AGENCY
Doing business as
Youth Services Bureau
Practice address
1100 California Street
Eureka, CA 95501
Phone
(707) 443-8322
Fax
(707) 445-1445
NPI assigned
Feb 26, 2007
Last updated
Apr 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Rachel Irene WildNPI 1770619090
Title
Administrative Coordinator II
Phone
(707) 269-2003

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1100 California Street
Eureka, CA 95501

Mailing address

904 G St
Eureka, CA 95501
Phone (707) 269-2001

Other names 1

  • Youth Services Bureau Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Services Program - Community Services Division2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1100 California St
Eureka, CA 95501
Phone (707) 443-8322

904 G St
Eureka, CA 95501
Phone (707) 269-2001

Practitioners & affiliated clinicians

Practitioners 146

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.

View all 146

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1578699260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 G ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-269-2001",
            "fax_number": "707-445-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CALIFORNIA STREET",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-443-8322",
            "fax_number": "707-445-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR II",
        "authorized_official_telephone_number": "707-269-2003"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services Bureau",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Youth Services Bureau",
            "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 Apr 23, 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.