NPIMap

Organization Active NPI

Mountain Side Behavioral Health LLC

  • Addiction (Substance Use Disorder) Counselor
  • Colfax, CA
National Provider Identifier
1750012431
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MOUNTAIN SIDE BEHAVIORAL HEALTH LLC
Doing business as
Restoration Recovery Center
Practice address
1533 S Auburn St
Colfax, CA 95713-9019
Phone
(970) 948-4129
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Mr. Aaron Estrada, CADC
Title
Ceo
Phone
(970) 948-4129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1533 S Auburn St
Colfax, CA 95713-9019

Mailing address

70 College Way
Auburn, CA 95603-5001
Phone (970) 948-4129

Other names 1

  • Restoration Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mountain Side Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1750012431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COLLEGE WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035001",
            "telephone_number": "970-948-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S AUBURN ST",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957139019",
            "telephone_number": "970-948-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SIDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-11-13",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-948-4129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restoration Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colfax, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.