Organization Active NPI

South Tulare County One Stop

  • Community/Behavioral Health Agency
  • Porterville, CA
National Provider Identifier
1720267388
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH TULARE COUNTY ONE STOP
Practice address
177 W Henderson Ave Ste 1
Porterville, CA 93257-1777
Phone
(559) 784-0312
NPI assigned
Oct 31, 2007
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KINGS VIEW CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Mrs. Colleen Overholt, LMFT
Title
Regional Clinical Services Director
Phone
(559) 687-0929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

177 W Henderson Ave Ste 1
Porterville, CA 93257-1777

Mailing address

177 W Henderson Ave Ste 1
Porterville, CA 93257-1777
Phone (559) 784-0312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000895 CA Part B Supplier - Clinic/Group Practice 4688657653 Receives reassigned benefits from 11 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fresno, CA; Hanford, CA; Porterville, CA; Tulare, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southtulare County Mobile Unit40 organizations share this tax ID, including this one
Part of
Southtulare County Mobile Unit

Other organizations with this tax ID 39

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

View all 39

Locations

177 W Henderson Ave
Ste 1
Porterville, CA 93257
Phone (559) 781-3033

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1720267388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W HENDERSON AVE STE 1",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571777",
            "telephone_number": "559-784-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W HENDERSON AVE STE 1",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571777",
            "telephone_number": "559-784-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULARE COUNTY ONE STOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINGS VIEW CORPORATION",
        "enumeration_date": "2007-10-31",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "OVERHOLT",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "REGIONAL CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "559-687-0929",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.