Active NPI
Lutheran Social Services of Northern California
- Case Management Agency
- Redding, CA
National Provider Identifier
1619601143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
- Practice address
- 2400 Washington Ave Ste 120
Redding, CA 96001-2839 - Phone
- (916) 453-2900
- NPI assigned
- Jul 11, 2022
- Last updated
- Jul 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mixtlicoatl R Gonzalez
- Title
- Data System Manager
- Phone
- (916) 900-0614
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
2400 Washington Ave Ste 120
Redding, CA 96001-2839
Mailing address
4390 47TH Ave
Sacramento, CA 95824-3700
Phone (916) 900-6140
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgonzalez@lssnorcal.org | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Social Services of
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Stockton, CA
- NPI 1023766185
-
- Case Management Agency
- Sacramento, CA
- NPI 1245462969
-
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
- NPI 1033442488
Locations
2400 Washington Ave
Ste 120
Redding, CA 96001
Phone (916) 453-2900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657497600000",
"number": "1619601143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 47TH AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243700",
"telephone_number": "916-900-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WASHINGTON AVE STE 120",
"city": "REDDING",
"state": "CA",
"postal_code": "960012839",
"telephone_number": "916-453-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MIXTLICOATL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DATA SYSTEM MANAGER",
"authorized_official_telephone_number": "916-900-0614",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgonzalez@lssnorcal.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2400 Washington Ave Ste 120",
"city": "Redding",
"state": "CA",
"country_code": "US",
"postal_code": "960012839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.