Organization Active NPI

Sierra Mental Wellness Group

  • Case Manager/Care Coordinator
  • Auburn, CA
National Provider Identifier
1831947175
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SIERRA MENTAL WELLNESS GROUP
Practice address
1515 Foxridge Cir
Auburn, CA 95603-5958
Phone
(530) 305-4416
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Cassidy M Noder, MA
Title
Crisis Clinician
Phone
(530) 305-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1515 Foxridge Cir
Auburn, CA 95603-5958

Mailing address

1515 Foxridge Cir
Auburn, CA 95603-5958
Phone (530) 305-4416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1831947175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 FOXRIDGE CIR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035958",
            "telephone_number": "530-305-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 FOXRIDGE CIR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035958",
            "telephone_number": "530-305-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MENTAL WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "NODER",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CRISIS CLINICIAN",
        "authorized_official_telephone_number": "530-305-4416",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.