NPIMap

Organization Active NPI

Elijah House Counseling Solutions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oroville, CA
National Provider Identifier
1740740091
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ELIJAH HOUSE COUNSELING SOLUTIONS
Practice address
2167 Montgomery St Ste a
Oroville, CA 95965-4945
Phone
(530) 854-4119
Fax
(530) 854-4118
NPI assigned
Mar 22, 2019
Organization subpart
Yes
Parent organization
ELIJAH HOUSE S.L.EAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Joseph Nathaniel Henderson
Title
Ceo
Phone
(530) 854-4119

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2167 Montgomery St Ste a
Oroville, CA 95965-4945

Mailing address

PO Box 2456
Oroville, CA 95965-2456
Phone (530) 854-4119

National Provider Directory

National Provider Directory
Tax ID family
Elijah House Counseling Solutions4 organizations share this tax ID, including this one
Part of
Elijah House Counseling Solutions

Other organizations with this tax ID 3

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

Locations

2770 Olive Hwy
Ste G
Oroville, CA 95966

2167 Montgomery St
Ste A
Oroville, CA 95965

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1740740091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2456",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959652456",
            "telephone_number": "530-854-4119",
            "fax_number": "530-854-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 MONTGOMERY ST STE A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959654945",
            "telephone_number": "530-854-4119",
            "fax_number": "530-854-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH HOUSE COUNSELING SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIJAH HOUSE S.L.E",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-854-4119"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.