COUNTY OF LAKE
NPI 1164265286
Community/Behavioral Health in Lower Lake, CA

Active since June 17, 2024
9055 HIGHWAY 53, LOWER LAKE, CA 95457(707) 274-9101 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About County Of Lake NPPES

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

COUNTY OF LAKE (NPI 1164265286), doing business as Lower Lake Clinic, is a healthcare organization registered as a community/behavioral health in Lower Lake, California and active in the NPI registry since June 2024. The organization lists Elise Jones Ma, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1164265286
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF LAKE
Location Address9055 HIGHWAY 53Lower Lake, CA 95457
Mailing AddressPo Box 1024Lucerne, CA 95458-1024 · (707) 274-9101
Organization SubpartYes
Authorized OfficialElise Jones MaBehavioral Health Director · (707) 274-9101
Enumeration DateJune 17, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1164265286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

9055 HIGHWAY 53, Lower Lake, CA 95457

Other Names 1

Doing Business AsLower Lake Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
9055 HIGHWAY 53
LOWER LAKE, CA 95457
Community/Behavioral Health
9055 HIGHWAY 53
LOWER LAKE, CA 95457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164265286, enumerated as an "organization" on June 17, 2024.

The provider is located at 9055 HIGHWAY 53 LOWER LAKE, CA 95457 and the phone number is (707) 274-9101.

Community/Behavioral Health with taxonomy code 251S00000X.