NPIMap

Organization Active NPI

Lassen County Community Social Services

  • Addiction (Substance Use Disorder) Counselor
  • Susanville, CA
National Provider Identifier
1679879787
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
LASSEN COUNTY COMMUNITY SOCIAL SERVICES
Practice address
1616 Chestnut St
Susanville, CA 96130-3720
Phone
(530) 251-8128
Fax
(530) 251-2668
NPI assigned
Feb 7, 2011
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Ms. Melody Brawley
Title
Director
Phone
(530) 251-8336

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1616 Chestnut St
Susanville, CA 96130-3720

Mailing address

1616 Chestnut St
Susanville, CA 96130-3720
Phone (530) 251-8336

National Provider Directory

National Provider Directory
Tax ID family
Lassen County13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1616 Chestnut St
Susanville, CA 96130
Phone (530) 251-8128

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1679879787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CHESTNUT ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303720",
            "telephone_number": "530-251-8336",
            "fax_number": "530-251-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CHESTNUT ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303720",
            "telephone_number": "530-251-8128",
            "fax_number": "530-251-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSEN COUNTY COMMUNITY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BRAWLEY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "530-251-8336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.