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BUCKELEW PROGRAMS
NPI 1467167965
Substance Abuse Rehabilitation Facility in Santa Rosa, CA

Active since January 18, 2023
540 MIDDLE RINCON RD, SANTA ROSA, CA 95409(707) 909-0168 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, Jan 18, 2023 (2 updates tracked since 2023).

About Buckelew Programs NPPES

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

BUCKELEW PROGRAMS (NPI 1467167965), doing business as Athena House, is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Rosa, California and active in the NPI registry since January 2023. The organization lists John Christopher Kughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467167965
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBUCKELEW PROGRAMS
Location Address540 MIDDLE RINCON RDSanta Rosa, CA 95409-3107
Mailing Address201 Alameda Del Prado Ste 103Novato, CA 94949-6698
Phone(707) 909-0168
Organization SubpartYes
Authorized OfficialJohn Christopher KughnCeo · (415) 457-6966
Enumeration DateJanuary 18, 2023
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1467167965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
540 MIDDLE RINCON RD, Santa Rosa, CA 95409
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Other Names 1

Doing Business AsAthena House

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.

MRS. CYNTHIA PARDO-NIETO R.A.S.I
Counselor (Addiction (Substance Use Disorder))
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 335-0702
JAIME CHAPMAN
Counselor (Addiction (Substance Use Disorder))
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 228-7667
AMBER VOGT
Counselor (Addiction (Substance Use Disorder))
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 687-8891
LAUREN MARLEY BARTH
Specialist
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 335-0702
SHANNON RYAN LMFT
Marriage & Family Therapist
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 909-0168
RUBY JOY CLAY
Counselor (Addiction (Substance Use Disorder))
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 335-0702
LORETTA LOUISE JENSEN
Counselor (Addiction (Substance Use Disorder))
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 909-0168
JUSTINE ROSE RUEGG
Counselor (Addiction (Substance Use Disorder))
540 MIDDLE RINCON RD
SANTA ROSA, CA 95409
Sonoma County (707) 335-0702

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 Buckelew Programs's NPI number?

The NPI number for Buckelew Programs is 1467167965. It was assigned to this organization in the NPPES registry on January 18, 2023. The provider is doing business as Athena House.

Where is Buckelew Programs located?

Buckelew Programs is located at 540 Middle Rincon Rd, Santa Rosa, CA 95409. The listed phone number is (707) 909-0168.

What is Buckelew Programs's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Buckelew Programs was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.