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

Q: 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.

Q: What is County Of Siskiyou's specialty?

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

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: October 18, 2026.

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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Siskiyou Behavioral Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to County Of Siskiyou Behavioral Health Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker7

Nurse Practitioner2

Psychiatry2

Clinicians, nearest first (11)

Candace Ross, MSW, LCSW, MAC, CCTP

Clinical Social Worker

NPI 1467549212

1107 REAM AVE
Mount Shasta, CA 96067

(530) 918-7200

✔ PECOS✔ Accepts MedicareSame address

Vicki Bedford

Clinical Social Worker

NPI 1710511225

2601 N OLD STAGE RD SPC 48
Mount Shasta, CA 96067

(503) 863-1599

✔ PECOS✔ Accepts Medicare3.2 mi

Karina Castillo

Clinical Social Worker

NPI 1689914244

2060 CAMPUS DR
Yreka, CA 96097

(530) 841-4100

✔ PECOS✔ Accepts Medicare33 mi

Jeremy Goldsmith, LCSW

Clinical Social Worker

NPI 1437861085

2060 CAMPUS DR
Yreka, CA 96097

(530) 841-4100

✔ PECOS✔ Accepts Medicare33 mi

Elvia Amezcua, LCSW

Clinical Social Worker

NPI 1427616887

2060 CAMPUS DR
Yreka, CA 96097

(530) 841-4100

✔ PECOS33 mi

Martin Dawson, NP

Nurse Practitioner

NPI 1073653861

2865 CHURN CREEK RD SUITE B
Redding, CA 96002

(530) 646-7269

✔ PECOS51 mi

Rinnah Macvittie, FNP-BC; AGNP-C

Nurse Practitioner

NPI 1417346552

2415 HIGH SCHOOL AVE STE 700
Concord, CA 94520

(415) 848-9111

✔ PECOS✔ Accepts Medicare229 mi

John Schaeffer, D.O.

Psychiatry

NPI 1497743918

101 CALIFORNIA ST STE 2710
San Francisco, CA 94111

(916) 320-4222

✔ PECOS242 mi

David Johnson, M.D.

Psychiatry

NPI 1902913239

8400 NORMANDALE LAKE BLVD STE 920
Bloomington, MN 55437

(952) 395-7212

✔ PECOS✔ Accepts Medicare1,478 mi

Kellie Malewski, LMSW, CAADC

Clinical Social Worker

NPI 1275866071

5401 MCAULEY DR.
Ann Arbor, MI 48106

(734) 786-2328

✔ PECOS✔ Accepts Medicare1,981 mi

Erica Picon, LCSW

Clinical Social Worker

NPI 1144661562

1967 WEHRLE DR # 1086
Buffalo, NY 14221

(415) 403-2156

✔ PECOS✔ Accepts Medicare2,217 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 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.

Is County Of Siskiyou enrolled in Medicare?

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

How many clinicians bill Medicare through County Of Siskiyou?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to County Of Siskiyou. 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 (7), Nurse Practitioner (2) and Psychiatry (2). Of these, 1 practice at this address and 2 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 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 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.