Active NPI
Crisis Intervention Services
- Case Management Agency
- Truckee, CA
National Provider Identifier
1962236976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CRISIS INTERVENTION SERVICES
- Practice address
- 11695 Donner Pass Rd
Truckee, CA 96161-4953 - Phone
- (530) 546-0952
- NPI assigned
- Aug 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Bancroft
- Title
- Executive Director
- Phone
- (775) 298-0162
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
11695 Donner Pass Rd
Truckee, CA 96161-4953
Mailing address
PO Box 1232
Kings Beach, CA 96143-1232
Other practice location 1
265 Bear Street
Kings Beach, CA 96143
Phone (530) 546-0952
Other names 1
- Sierra Community House
National Provider Directory
National Provider DirectoryLocations
11695 Donner Pass Rd
Truckee, CA 96161
Phone (530) 546-0952
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Kings Beach, CA
- NPI 1386567360
-
- Community Health Worker
- Kings Beach, CA
- NPI 1851214894
-
- Community Health Worker
- Kings Beach, CA
- NPI 1760398531
-
- Community Health Worker
- Kings Beach, CA
- NPI 1619890688
-
- Community Health Worker
- Kings Beach, CA
- NPI 1649191792
-
- Community Health Worker
- Kings Beach, CA
- NPI 1659294643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1962236976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1232",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961431232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11695 DONNER PASS RD",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614953",
"telephone_number": "530-546-0952"
}
],
"practiceLocations": [
{
"address_1": "265 Bear Street",
"address_purpose": "LOCATION",
"city": "Kings Beach",
"state": "CA",
"postal_code": "96143",
"country_code": "US",
"telephone_number": "530-546-0952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CRISIS INTERVENTION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "BANCROFT",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "775-298-0162"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sierra Community House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.