NPIMap

Organization Active NPI

Valley Community Couseling Services

  • Case Management Agency
  • Stockton, CA
National Provider Identifier
1891189403
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VALLEY COMMUNITY COUSELING SERVICES
Practice address
1300 W. Lodi Ste G-2
Stockton, CA 95240
Phone
(209) 334-2126
Fax
(209) 369-8406
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Patricia P Madrid, RASI
Title
Counselof
Phone
(209) 334-2126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1300 W. Lodi Ste G-2
Stockton, CA 95240

Mailing address

1300 W Lodi Ave Ste G2
Lodi, CA 95242-3037
Phone (209) 334-2126

National Provider Directory

National Provider Directory
Tax ID family
Valley Community Counseling Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1300 W Lodi Ave
Ste G2
Lodi, CA 95242
Phone (209) 334-2126

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1891189403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W LODI AVE STE G2",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423037",
            "telephone_number": "209-334-2126",
            "fax_number": "209-369-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W. LODI STE G-2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "209-334-2126",
            "fax_number": "209-369-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COMMUNITY COUSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COUNSELOF",
        "authorized_official_telephone_number": "209-334-2126",
        "authorized_official_credential": "RASI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.