Humboldt Community Access and Resource Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HUMBOLDT COMMUNITY ACCESS AND RESOURCE CENTER

Practice address

1707 E St Ste 2
Eureka, CA 95501-7621

Phone

(707) 443-7077

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pennie Sue Locklin-Lee

Title

Executive Assistant

Phone

(707) 443-7077

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Jessica Dora, AMFT

  • Marriage & Family Therapist
  • Eureka, CA
  • NPI 1891642401

  Mental Health

  NPD
• Pennie Sue Lee, AMFT

  • Marriage & Family Therapist
  • Eureka, CA
  • NPI 1619658739

  Mental Health

  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1720856743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 E ST STE 2",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955017621",
            "telephone_number": "707-443-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E ST STE 2",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955017621",
            "telephone_number": "707-443-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT COMMUNITY ACCESS AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "LOCKLIN-LEE",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "707-443-7077"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Hughes, LM, CPM
• Janet Gay Hulmes, LVN
• Humboldt Acupuncture
• Humboldt Audiology, PC
• Humboldt Bay Surgery Co-Operative
• Humboldt Counseling Connection
• Humboldt Counseling Connection
• Humboldt County Behavioral Health (Behavioral Health Counseling Clinic)
• Humboldt County Behavioral Health (Mobile and Regional Services)
• Humboldt County Behavioral Health (Children's Behavioral Health Clinic)

• Mental Health Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.