Active NPI
California Mental Health Counseling
- Mental Health Counselor
- Grass Valley, CA
National Provider Identifier
1720589260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CALIFORNIA MENTAL HEALTH COUNSELING
- Practice address
- 120 N Auburn St Ste 212
Grass Valley, CA 95945-6277 - Phone
- (530) 273-1112
- Fax
- (530) 273-1112
- NPI assigned
- Feb 21, 2018
- 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
- Mrs. Kathleen McVicker
- Title
- Ceo
- Phone
- (530) 273-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
120 N Auburn St Ste 212
Grass Valley, CA 95945-6277
Mailing address
13810 Climbing Way
Nevada City, CA 95959-9649
Phone (530) 273-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467720474 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
120 N Auburn St
Ste 212
Grass Valley, CA 95945
Phone (530) 273-1112
208 Providence Mine Rd
Ste 122
Nevada City, CA 95959
Phone (530) 263-6974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1720589260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 CLIMBING WAY",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599649",
"telephone_number": "530-273-1112",
"fax_number": "530-273-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N AUBURN ST STE 212",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456277",
"telephone_number": "530-273-1112",
"fax_number": "530-273-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA MENTAL HEALTH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "MCVICKER",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-273-1112",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467720474",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.