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SHASTA COUNTY
NPI 1023395662
Clinic/Center - Adolescent and Children Mental Health in Redding, CA

Active since November 10, 2011CLIA 05D1017325 · Waiver
1620/1624 MARKET ST, REDDING, CA 96001(530) 245-6750(530) 225-5950 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Nov 23, 2021, Mar 31, 2016 and 1 more (4 updates tracked since 2016).

About Shasta County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA COUNTY (NPI 1023395662) is a healthcare organization registered as an adolescent and children mental health in Redding, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Donnell Ewert, Director Of Mental Health, as its authorized official.

NPPES Registry Identity

NPI1023395662
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSHASTA COUNTY
Location Address1620/1624 MARKET STRedding, CA 96001-1021
Mailing Address2640 BreslauerRedding, CA 96001-1021 · (530) 245-6750
Phone(530) 245-6750
Fax(530) 225-5950
Organization SubpartYesParent: Shasta County Health And Human Services Agency
Authorized OfficialDonnell EwertDirector Of Mental Health · (530) 245-6750
Enumeration DateNovember 10, 2011
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1023395662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1620/1624 MARKET ST, Redding, CA 96001
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1017325

Shasta County Hhsa - Public Health Branch (oa C&t Program) · Redding, CA
Active · expires Sep 21, 2027
CLIA Number05D1017325
Laboratory TypePublic Health Laboratories
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorKaren C. Ramstrom
Laboratory Phone(530) 225-5591
Laboratory LocationShasta County Hhsa - Public Health Branch (oa C&t Program)2650 Breslauer Way - Clinic, Redding, CA 96001
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta County's NPI number?

The NPI number for Shasta County is 1023395662. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is Shasta County located?

Shasta County is located at 1620/1624 Market St, Redding, CA 96001. The listed phone number is (530) 245-6750.

What is Shasta County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Shasta County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1017325) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shasta County was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.