HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES
NPI 1710459292
Clinic/Center - Adult Mental Health in Fortuna, CA

Active since December 21, 2018
3429 RENNER DR, FORTUNA, CA 95540(707) 298-9295 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2025, Jun 18, 2025, Dec 17, 2021 and 5 more (8 updates tracked since 2018).

About Humboldt Neurohealth Therapeutic Services NPPES

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

HUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES (NPI 1710459292) is a healthcare organization registered as an adult mental health in Fortuna, California and active in the NPI registry since December 2018. The organization maintains 3 additional practice locations and lists Jennifer Brown, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710459292
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHUMBOLDT NEUROHEALTH THERAPEUTIC SERVICES
Location Address3429 RENNER DRFortuna, CA 95540-3104
Mailing Address3429 Renner DrFortuna, CA 95540-3104 · (707) 296-9295
Organization SubpartNo
Authorized OfficialJennifer BrownExecutive Director · (707) 296-9295
Enumeration DateDecember 21, 2018
Last NPPES UpdateSeptember 12, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1710459292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Secondary Practice Locations 3

Location 11504 Main StFortuna, CA 95540-2431 · Phone (707) 296-9295 · Fax (707) 324-0314
Location 2389 H StArcata, CA 95521-6636 · Phone (707) 296-9295
Location 32313 I StEureka, CA 95501-4244 · Phone (707) 296-9295 · Fax (707) 324-0314

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Humboldt Neurohealth Therapeutic Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Humboldt Neurohealth Therapeutic Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Clinical Social Worker6
Marriage and Family Therapist5

Clinicians, nearest first (11)

Clinical Social Worker
NPI 1568709269
3429 RENNER DR
Fortuna, CA 95540
(707) 296-9295
✔ PECOS✔ Accepts Medicare
Marriage and Family Therapist
NPI 1932443744
381 BAYSIDE RD STE D
Arcata, CA 95521
(707) 683-7070
✔ PECOS
Marriage and Family Therapist
NPI 1659837912
4604A ROOSEVELT AVE
Sacramento, CA 95820
(916) 457-3129
✔ PECOS✔ Accepts Medicare
Marriage and Family Therapist
NPI 1215667076
PO BOX 1264
Ventura, CA 93002
(805) 341-3961
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1851884688
2313 I ST
Eureka, CA 95501
(707) 296-9295
✔ PECOS
Marriage and Family Therapist
NPI 1336762376
3429 RENNER DR
Fortuna, CA 95540
(707) 617-0323
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1699354837
2313 I ST
Eureka, CA 95501
(707) 296-9295
✔ PECOS✔ Accepts Medicare
Marriage and Family Therapist
NPI 1194471623
3429 RENNER DR
Fortuna, CA 95540
(707) 296-9295
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1124405048
830 BRET HART ALY
Arcata, CA 95521
(707) 682-9345
✔ PECOS
Clinical Social Worker
NPI 1174024277
2313 I ST EUREKA
Eureka, CA 95501
(707) 572-5324
✔ PECOS✔ Accepts Medicare
Clinical Social Worker
NPI 1801438783
2145 MYRTLE AVE
Eureka, CA 95501
(707) 296-9295
✔ PECOS✔ Accepts Medicare

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 Humboldt Neurohealth Therapeutic Services's NPI number?

The NPI number for Humboldt Neurohealth Therapeutic Services is 1710459292. It was assigned to this organization in the NPPES registry on December 21, 2018.

Where is Humboldt Neurohealth Therapeutic Services located?

Humboldt Neurohealth Therapeutic Services is located at 3429 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 298-9295.

What is Humboldt Neurohealth Therapeutic Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Humboldt Neurohealth Therapeutic Services enrolled in Medicare?

Yes. Humboldt Neurohealth Therapeutic Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Humboldt Neurohealth Therapeutic Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Humboldt Neurohealth Therapeutic Services. 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 (6) and Marriage and Family Therapist (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Humboldt Neurohealth Therapeutic Services was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.