REDWOOD COMMUNITY SERVICES, INC
NPI 1366709461
Clinic/Center - Rehabilitation, Substance Use Disorder in Lakeport, 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 1366709461) is a healthcare organization registered as a rehabilitation, substance use disorder in Lakeport, California and active in the NPI registry since April 2012. The organization maintains 2 additional practice locations and lists Victoria Jerusha Kelly, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 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. 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 1366709461. It was assigned to this organization in the NPPES registry on April 13, 2012.
Where is Redwood Community Services, Inc located?
Redwood Community Services, Inc is located at 154 S Main St, Lakeport, CA 95453. The listed phone number is (707) 263-0372.
What is Redwood Community Services, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
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). 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 December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Redwood Community Services, Inc · NPI 1366709461
Rehabilitation, Substance Use Disorder organization in Lakeport, California. Organization record, active in the CMS NPPES registry since April 13, 2012.
## Identity
- **NPI:** 1366709461 (Entity type: Organization)
- **Enumerated:** April 13, 2012
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** Yes (part of Redwood Community Services, Inc.)
- **Authorized official:** Victoria Kelly, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 154 S MAIN ST, Lakeport, CA 95453-5017
- **Phone:** (707) 263-0372
## 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) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2020
- **Other identifiers:** Other 171721 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1366709461) · Data from the CMS NPPES public registry.