SAN BENITO COUNTY BEHAVIORAL HEALTH
NPI 1255461471
Clinic/Center in Hollister, CA

Active since March 06, 2007
1131 COMMUNITY PARKWAY, HOLLISTER, CA 95023(831) 636-4020(831) 636-4025 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San Benito County Behavioral Health NPPES

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

SAN BENITO COUNTY BEHAVIORAL HEALTH (NPI 1255461471) is a healthcare organization registered as a clinic/center in Hollister, California and active in the NPI registry since March 2007. The organization lists Dana Edgull, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1255461471
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN BENITO COUNTY
Location Address1131 COMMUNITY PARKWAYHollister, CA 95023
Mailing Address1131 Community ParkwayHollister, CA 95023 · (831) 636-4020 · Fax (831) 636-4025
Fax(831) 636-4025
Organization SubpartNo
Authorized OfficialDana EdgullBehavioral Health Director · (831) 636-4020
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1255461471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1131 COMMUNITY PARKWAY, Hollister, CA 95023

Other Names 1

Other NameSan Benito County Behavioral Health

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)

San Benito County Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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 IDO20120515000022Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to San Benito County Behavioral Health, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker5
Psychiatry5
Marriage and Family Therapist2
Clinical Psychologist1

Clinicians, nearest first (13)

Clinical Social Worker
NPI 1265909923
1131 COMMUNITY PARKWAY
Hollister, CA 95023
(831) 636-4020
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1386831121
1131 COMMUNITY PARKWAY
Hollister, CA 95037
(831) 636-4020
✔ PECOSSame address
Marriage and Family Therapist
NPI 1174985980
1131 COMMUNITY PARKWAY
Hollister, CA 95023
(831) 636-4020
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1124421425
1131 COMMUNITY PKWY
Hollister, CA 95023
(831) 636-4025
✔ PECOSSame address
Clinical Social Worker
NPI 1558849349
1131 COMMUNITY PARKWAY
Hollister, CA 95023
(831) 636-4020
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1700092053
1131 COMMUNITY PKWY
Hollister, CA 95023
(831) 636-4020
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1144245556
1131 SAN FELIPE RD
Hollister, CA 95023
(831) 636-4020
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1356888127
290 IOOF AVE
Gilroy, CA 95020
(408) 846-2100
✔ PECOS14 mi
Psychiatry
NPI 1992830558
9015 MURRAY AVE STE 100
Gilroy, CA 95020
(408) 846-4746
✔ PECOS✔ Accepts Medicare15 mi
Marriage and Family Therapist
NPI 1861693145
215 HUERTA AVE
Greenfield, CA 93927
(831) 674-2180
✔ PECOS✔ Accepts Medicare39 mi
Psychiatry
NPI 1023107513
2772 S. MARTIN LUTHER KING BLVD.
Fresno, CA 93706
(559) 251-4800
✔ PECOS89 mi
Psychiatry
NPI 1588867949
724 BONAIR ST
La Jolla, CA 92037
(619) 692-8222
✔ PECOS364 mi
Psychiatry
NPI 1417272246
9418 LAGO DR
Boynton Beach, FL 33472
(561) 523-0351
✔ PECOS✔ Accepts Medicare2,507 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 San Benito County's NPI number?

The NPI number for San Benito County is 1255461471. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is also known as San Benito County Behavioral Health.

Where is San Benito County located?

San Benito County is located at 1131 Community Parkway, Hollister, CA 95023. The listed phone number is (831) 636-4020.

What is San Benito County's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is San Benito County enrolled in Medicare?

Yes. San Benito County is registered in the Medicare PECOS enrollment system.

When is San Benito County'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 February 28, 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 San Benito County?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to San Benito County. 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), Psychiatry (5) and Marriage and Family Therapist (2). Of these, 6 practice at this address and 7 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 San Benito County was last updated on May 22, 2024. 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.