NPIMap

Organization Active NPI

County of Shasta

Doing business as Shasta County Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
National Provider Identifier
1881692390
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF SHASTA
Doing business as
Shasta County Mental Health
Practice address
2640 Breslauer Way
Redding, CA 96001-4246
Phone
(530) 225-5200
Fax
(530) 225-5977
NPI assigned
Jul 8, 2005
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SHASTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Miguel Rodriguez
Title
Director of Mental Health
Phone
(530) 225-5965

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Community/Behavioral Health Agency 251S00000X
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

2640 Breslauer Way
Redding, CA 96001-4246

Mailing address

PO Box 496048
Redding, CA 96049-6048
Phone (530) 225-5200

Other identifiers 6

IdentifierTypeStateIssuer
4515MedicaidCA
ZZZ85235ZOtherCABLUE SHIELD CALIFORNIA
4579MedicaidCA
4578MedicaidCA
4580MedicaidCA
4581MedicaidCA

Other names 1

  • Shasta County Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000772 CA Part B Supplier - Clinic/Group Practice 8820081581 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
Practice locations: Redding, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • County of Shasta

    dba Shasta County Public Health

    • State or Local Public Health Clinic/Center
    • Redding, CA
    • NPI 1588709182

    8820081581

    Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Shasta Gen Hosp Dept of33 organizations share this tax ID, including this one
Part of
Shasta Gen Hosp Dept of

Other organizations with this tax ID 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1881692390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496048",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496048",
            "telephone_number": "530-225-5200",
            "fax_number": "530-225-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014246",
            "telephone_number": "530-225-5200",
            "fax_number": "530-225-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHASTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SHASTA",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH",
        "authorized_official_telephone_number": "530-225-5965"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4515",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CALIFORNIA",
            "identifier": "ZZZ85235Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4579",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4578",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4580",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta County Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shasta County Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.