BEHAVIORAL HEALTH & RECOVERY SERVICES - MENTAL HEALTH
NPI 1629107735
Clinic/Center - Adolescent and Children Mental Health in Willits, CA

Active since March 05, 2007
474 E VALLEY ST, WILLITS, CA 95490(707) 472-2300(707) 472-2331 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2016, Jan 15, 2016 (2 updates tracked since 2016).

About Behavioral Health & Recovery Services - Mental Health NPPES

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

BEHAVIORAL HEALTH & RECOVERY SERVICES - MENTAL HEALTH (NPI 1629107735) is a healthcare organization registered as an adolescent and children mental health in Willits, California and active in the NPI registry since March 2007. The organization lists Jenine Miller, Bhrs Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1629107735
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMENDOCINO COUNTY
Location Address474 E VALLEY STWillits, CA 95490-3606
Mailing Address1120 S Dora StUkiah, CA 95482-6340 · (707) 472-2300 · Fax (707) 472-2331
Fax(707) 472-2331
Organization SubpartNo
Authorized OfficialJenine MillerBhrs Deputy Director · (707) 472-2300
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 17, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1629107735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X
474 E VALLEY ST, Willits, CA 95490

Other Names 1

Other NameBehavioral Health & Recovery Services - Mental Health

Other Identifiers 3

Medicaid2367CA
Medicaid00023CA
OtherBBB33295BCA · Mh Submitter #

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)

Behavioral Health & Recovery Services - Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20040520001485Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Behavioral Health & Recovery Services - Mental Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1386706695
31300 COMPTCHE-UKIAH RD.
Comptche, CA 95427
(707) 937-4084
✔ PECOS✔ Accepts Medicare17 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 Mendocino County's NPI number?

The NPI number for Mendocino County is 1629107735. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is also known as Behavioral Health & Recovery Services - Mental Health.

Where is Mendocino County located?

Mendocino County is located at 474 E Valley St, Willits, CA 95490. The listed phone number is (707) 472-2300.

What is Mendocino County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Mendocino County enrolled in Medicare?

Yes. Mendocino County is registered in the Medicare PECOS enrollment system.

When is Mendocino 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 January 31, 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 Mendocino County?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mendocino 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mendocino County was last updated on January 17, 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.