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COUNTY OF SISKIYOU BEHAVIORAL HEALTH SERVICES
NPI 1427219237
Community/Behavioral Health in Mount Shasta, CA

Active since June 24, 2008
1107 REAM AVE, MOUNT SHASTA, CA 96067(530) 918-7200(530) 918-7216 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, May 3, 2024, Jan 28, 2021 and 1 more (4 updates tracked since 2021).

About County Of Siskiyou Behavioral Health Services NPPES

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

COUNTY OF SISKIYOU BEHAVIORAL HEALTH SERVICES (NPI 1427219237) is a healthcare organization registered as a community/behavioral health in Mount Shasta, California and active in the NPI registry since June 2008. The organization lists Rose Marie Bullock, Administrative Services Manager, as its authorized official.

NPPES Registry Identity

NPI1427219237
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF SISKIYOU
Location Address1107 REAM AVEMount Shasta, CA 96067-9768
Mailing Address1107 Ream AveMt. Shasta, CA 96067 · (530) 918-7200 · Fax (530) 918-7216
Phone(530) 918-7200
Fax(530) 918-7216
Organization SubpartYesParent: County Of Siskiyou Behavioral Health
Authorized OfficialRose Marie BullockAdministrative Services Manager · (530) 841-4732
Enumeration DateJune 24, 2008
Last NPPES UpdateSeptember 23, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1427219237 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.
1107 REAM AVE, Mount Shasta, CA 96067
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Other Names 1

Doing Business AsCounty Of Siskiyou Behavioral Health Services

Other Identifiers 1

Medicaid01114108CA

Other Providers at the Same Location NPPES 20

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

AMY TRUBY
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1436
CRAIG BALLETTA
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1436
MR. ROBIN JOHNSTON
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1436
ANA LISA DE LA FUENTE
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1436
ERIC JAUREGUI
Rehabilitation Practitioner
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1436
CARL DAMON HOPKINS JR.
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1436
DONNA EDINGS
Case Manager/Care Coordinator
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (415) 425-9034
AMANDA MATHIE
Social Worker
1107 REAM AVE
MOUNT SHASTA, CA 96067
Siskiyou County (530) 841-4805

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 Siskiyou's NPI number?

The NPI number for County Of Siskiyou is 1427219237. It was assigned to this organization in the NPPES registry on June 24, 2008. The provider is doing business as County Of Siskiyou Behavioral Health Services.

Where is County Of Siskiyou located?

County Of Siskiyou is located at 1107 Ream Ave, Mount Shasta, CA 96067. The listed phone number is (530) 918-7200.

What is County Of Siskiyou's specialty?

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

When was this NPI record last updated?

The NPPES record for County Of Siskiyou was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.