REDWOOD COMMUNITY SERVICES, INC
NPI 1174778674
Community Based Residential Treatment Facility, Mental Illness in Ukiah, CA
About Redwood Community Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REDWOOD COMMUNITY SERVICES, INC (NPI 1174778674) is a healthcare organization registered as a community based residential treatment facility, mental illness in Ukiah, California and active in the NPI registry since November 2008. The organization maintains a secondary practice location in Potter Valley and lists Victoria Jerusha Kelly, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Redwood Community Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Redwood Community Services, Inc, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Redwood Community Services, Inc's NPI number?
The NPI number for Redwood Community Services, Inc is 1174778674. It was assigned to this organization in the NPPES registry on November 25, 2008. The provider is also known as Mendocino House.
Where is Redwood Community Services, Inc located?
Redwood Community Services, Inc is located at 150 Gibson St, Ukiah, CA 95482. The listed phone number is (707) 462-4770.
What is Redwood Community Services, Inc's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
Is Redwood Community Services, Inc enrolled in Medicare?
Yes. Redwood Community Services, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Redwood Community Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Redwood Community Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Marriage and Family Therapist (4) and Mental Health Counselor (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Redwood Community Services, Inc was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Redwood Community Services, Inc · NPI 1174778674
Community Based Residential Treatment Facility, Mental Illness organization in Ukiah, California. Organization record, active in the CMS NPPES registry since November 25, 2008.
## Identity
- **NPI:** 1174778674 (Entity type: Organization)
- **Enumerated:** November 25, 2008
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Also known as:** Mendocino House (Other Name)
- **Organization subpart:** Yes (part of Redwood Community Services, Inc)
- **Authorized official:** Victoria Kelly, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 150 GIBSON ST, Ukiah, CA 95482-3941
- **Phone:** (707) 462-4770
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Marriage and Family Therapist (4), Mental Health Counselor (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2026
- **Other identifiers:** Other 23BV (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174778674) · Data from the CMS NPPES public registry.