Organization Active NPI

California Mental Health Counseling

  • Mental Health Counselor
  • Grass Valley, CA
National Provider Identifier
1720589260
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 21, 2018

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1467720474MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.