Potter Valley Youth and Community Center, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

POTTER VALLEY YOUTH AND COMMUNITY CENTER, INC.

Practice address

10270 Main Street Street
Potter Valley, CA 95469

Phone

(707) 743-1789

NPI assigned

Jan 15, 2026

Organization subpart

No

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

Authorized official

Name

Alicia LoganNPI 1629210877

Title

Business Administrator

Phone

(707) 272-1097

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Alicia J Logan, MHRS

  • Community Health Worker
  • Ukiah, CA
  • NPI 1629210877
  NPD Authorized official

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1679431795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "POTTER VALLEY",
            "state": "CA",
            "postal_code": "954690273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10270 MAIN STREET STREET",
            "city": "POTTER VALLEY",
            "state": "CA",
            "postal_code": "95469",
            "telephone_number": "707-743-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTER VALLEY YOUTH AND COMMUNITY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "707-272-1097"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Pallesen
• Kathleen Phillips
• Damian Pickron
• Britney Pimentel
• Potter Valley Community Health Ctr
• James Pretorius, M.D.
• Redwood Community Services, Inc
• Redwood Community Services, Inc.
• Nathan Reitan
• Cynthia Rodgers

• Case Management Agency in Potter Valley, CA
• Providers in Potter Valley, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.