NPIMap

Organization Active NPI

Front St Inc

  • Case Management Agency
  • Ben Lomond, CA
National Provider Identifier
1841417409
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FRONT ST INC
Practice address
155 Willowbrook Dr
Ben Lomond, CA 95005-9714
Phone
(831) 420-0120
Fax
(831) 420-0136
NPI assigned
Apr 18, 2007
Organization subpart
Yes
Parent organization
FRONT ST INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Ann M. Butler
Title
Ceo and Owner
Phone
(831) 420-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CA Primary

Addresses

Primary practice location

155 Willowbrook Dr
Ben Lomond, CA 95005-9714

Mailing address

2115 7TH Ave
Santa Cruz, CA 95062-1663
Phone (831) 420-0120

Other identifiers 1

IdentifierTypeStateIssuer
44AZOtherCAMEDI-CAL PRV NBR

Other names 1

  • Willowbrook Mental Health Support Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Front Street12 organizations share this tax ID, including this one
Part of
Front Street

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1841417409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 7TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621663",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK DR",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059714",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT ST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT ST INC",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "831-420-0120"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PRV NBR",
            "identifier": "44AZ",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Mental Health Support Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Willowbrook Mental Health Support 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 Aug 17, 2022; 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.