BEHAVIORAL HEALTH & RECOVERY SERVICES - MENTAL HEALTH
NPI 1194853713
Community/Behavioral Health in Fort Bragg, CA

Active since March 02, 2007
790 S FRANKLIN ST STE B, FORT BRAGG, CA 95437(707) 964-4747 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Behavioral Health & Recovery Services - Mental Health NPPES

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

BEHAVIORAL HEALTH & RECOVERY SERVICES - MENTAL HEALTH (NPI 1194853713) is a healthcare organization registered as a community/behavioral health in Fort Bragg, California and active in the NPI registry since March 2007. The organization lists Jenine Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1194853713
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF MENDOCINO
Location Address790 S FRANKLIN ST STE BFort Bragg, CA 95437-5456
Mailing Address1120 S Dora StUkiah, CA 95482 · (707) 467-2300
Organization SubpartYes
Authorized OfficialJenine MillerDirector · (707) 472-2355
Enumeration DateMarch 2, 2007
Last NPPES UpdateDecember 2, 2023
NPPES CertifiedDecember 2, 2023
✔ NPI 1194853713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X
790 S FRANKLIN ST STE B, Fort Bragg, CA 95437

Other Names 1

Other NameBehavioral Health & Recovery Services - Mental Health

Other Identifiers 3

OtherBBB33295BCA · Mh Submitter #
Medicaid00023CA
Medicaid2311CA

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Behavioral Health & Recovery Services - Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040520001485Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Behavioral Health & Recovery Services - Mental Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1386706695
31300 COMPTCHE-UKIAH RD.
Comptche, CA 95427
(707) 937-4084
✔ PECOS✔ Accepts Medicare17 mi

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 County Of Mendocino's NPI number?

The NPI number for County Of Mendocino is 1194853713. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is also known as Behavioral Health & Recovery Services - Mental Health.

Where is County Of Mendocino located?

County Of Mendocino is located at 790 S Franklin St Ste B, Fort Bragg, CA 95437. The listed phone number is (707) 964-4747.

What is County Of Mendocino's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is County Of Mendocino enrolled in Medicare?

Yes. County Of Mendocino is registered in the Medicare PECOS enrollment system.

When is County Of Mendocino's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through County Of Mendocino?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to County Of Mendocino. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Mendocino was last updated on December 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.