County of Placer

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNTY OF PLACER

Practice address

11434 B Ave
Suite 100
Auburn, CA 95603

Phone

(530) 889-7240

NPI assigned

Mar 24, 2007

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTY OF PLACERAs reported in NPPES

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

Authorized official

Name

Amy R Ellis

Title

Director of Adult System of Care

Phone

(530) 889-7256

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Placer County Mental Health - Auburn Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Placer

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1457478216

  O20100504000285

  Same enrollment

Part of

Placer Medical Clinic

Locations

Practitioners 1

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.

• Carla H. Levin, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
  • NPI 1255741971
  NPD

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1750408514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11434 B AVE",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-889-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11434 B AVE",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-889-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PLACER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF PLACER",
        "enumeration_date": "2007-03-24",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF ADULT SYSTEM OF CARE",
        "authorized_official_telephone_number": "530-889-7256"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA MENTAL HEALTH",
            "identifier": "3104",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Placer County Mental Health - Auburn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa A Countryman
• County of Placer
• County of Placer (Placer County Community Clinic)
• County of Placer
• County of Placer
• County of Placer (Placer Medical Clinic-Pharmacy)
• Courtyard Dental Care
• Christian E Couto, RADT
• Kelly Couture, LMFT
• Amanda Couvrette

• Community/Behavioral Health Agency in Auburn, CA
• Providers in Auburn, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.