NPIMap

Organization Active NPI

Santa Cruz Community Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Ben Lomond, CA
National Provider Identifier
1760670806
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.
Practice address
305 Marion Ave
Ben Lomond, CA 95005-9403
Phone
(831) 429-8350
NPI assigned
Oct 12, 2007
Organization subpart
Yes
Parent organization
SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Carol Pruitt
Title
Program Manager
Phone
(831) 429-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

305 Marion Ave
Ben Lomond, CA 95005-9403

Mailing address

709 Mission St
Santa Cruz, CA 95060-3614

Other names 1

  • Youth Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Families Together41 organizations share this tax ID, including this one
Part of
Families Together

Other organizations with this tax ID 40

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

View all 40

Locations

305 Marion Ave
Ben Lomond, CA 95005

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1760670806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MARION AVE",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059403",
            "telephone_number": "831-429-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA CRUZ COMMUNITY COUNSELING CENTER, INC.",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "831-429-8350"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ben Lomond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.