NPIMap

Organization Active NPI

San Joaquin County Behavioral Heatlh Services

  • Addiction (Substance Use Disorder) Counselor
  • Stockton, CA
National Provider Identifier
1902028699
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
390002DN Issued in CA
Legal business name
SAN JOAQUIN COUNTY BEHAVIORAL HEATLH SERVICES
Practice address
620 N Aurora St Ste 3
Stockton, CA 95202-2276
Phone
(209) 468-3720
Fax
(209) 468-8640
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Fay Vieira, LMFT
Title
Director Behavioral Health Services
Phone
(209) 468-8849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 390002DN CA Primary

Addresses

Primary practice location

620 N Aurora St Ste 3
Stockton, CA 95202-2276

Mailing address

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-0651

Other identifiers 1

IdentifierTypeStateIssuer
393968MedicaidCA

Other names 1

  • Community Recovery Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Gen Hospita94 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

620 N Aurora St
Ste 3
Stockton, CA 95202
Phone (209) 468-3720

Practitioners & affiliated clinicians

Practitioners 1

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

  • Alex Medina
    • Addiction (Substance Use Disorder) Counselor
    • Stockton, CA
    • NPI 1750106175
    NPD

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1902028699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-0651",
            "fax_number": "209-468-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N AURORA ST STE 3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022276",
            "telephone_number": "209-468-3720",
            "fax_number": "209-468-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN COUNTY BEHAVIORAL HEATLH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "VIEIRA",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "DIRECTOR BEHAVIORAL HEALTH SERVICES",
        "authorized_official_telephone_number": "209-468-8849",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "390002DN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393968",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2026; 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.