Active NPI
Retraining the Village
- Addiction (Substance Use Disorder) Counselor
- East Palo Alto, CA
National Provider Identifier
1699394072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- RETRAINING THE VILLAGE
- Practice address
- 2399 Menalto Ave
East Palo Alto, CA 94303-1022 - Phone
- (650) 461-0433
- NPI assigned
- Apr 15, 2020
- Organization subpart
- Yes
- Parent organization
- RETRAINING THE VILLAGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Halley Irene Crumb, ADULT RESIDENTIAL
- Title
- Ceo
- Phone
- (650) 461-0433
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Behavior Analyst | 103K00000X | |||
| Peer Specialist | 175T00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| PACE Provider Organization | 251T00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Home Delivered Meals | 332U00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
2399 Menalto Ave
East Palo Alto, CA 94303-1022
Mailing address
2785 Joseph Ave Apt 4
Campbell, CA 95008-6259
Phone (650) 461-0433
National Provider Directory
National Provider Directory- Part of
- Retraining the Village
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Attendant Care Provider
- Madera, CA
- NPI 1164041687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1699394072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 JOSEPH AVE APT 4",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950086259",
"telephone_number": "650-461-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2399 MENALTO AVE",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "943031022",
"telephone_number": "650-461-0433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETRAINING THE VILLAGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RETRAINING THE VILLAGE",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "CRUMB",
"authorized_official_first_name": "HALLEY",
"authorized_official_middle_name": "IRENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "650-461-0433",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ADULT RESIDENTIAL"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.