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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COUNTY OF CALAVERAS
NPI 1811945132
Community/Behavioral Health in San Andreas, CA

Active since May 05, 2006
704 MOUNTAIN RANCH RD STE 103-105, SAN ANDREAS, CA 95249(209) 754-6525(209) 754-6597 Get Directions Write a Review

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

Record update history: Sep 25, 2026, Sep 3, 2025, Nov 4, 2019 (3 updates tracked since 2019).

About County Of Calaveras NPPES

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

COUNTY OF CALAVERAS (NPI 1811945132) is a healthcare organization registered as a community/behavioral health in San Andreas, California and active in the NPI registry since May 2006. The organization lists Stacey Meily, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1811945132
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF CALAVERAS
Location Address704 MOUNTAIN RANCH RD STE 103-105San Andreas, CA 95249-8902
Mailing Address891 Mountain Ranch RdSan Andreas, CA 95249-9713 · (209) 754-6525 · Fax (209) 754-6597
Phone(209) 754-6525
Fax(209) 754-6597
Organization SubpartNo
Authorized OfficialStacey MeilyAdministrative Assistant · (209) 754-6516
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1811945132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
704 MOUNTAIN RANCH RD STE 103-105, San Andreas, CA 95249
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Other Names 1

Other NameCalaveras County Behavioral Health Services

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)

County Of Calaveras is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to County Of Calaveras, 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, nearest first (2)

Rebecca Carrillo, M.D.
Psychiatry
NPI 1003088428
704 MOUNTAIN RANCH RD STE 103
San Andreas, CA 95249
(209) 754-6525
✔ PECOS✔ Accepts MedicareSame address
Wendy Alt, MFT
Marriage and Family Therapist
NPI 1912301318
891 MOUNTAIN RANCH RD
San Andreas, CA 95249
(209) 754-6843
✔ PECOS0.6 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 Calaveras's NPI number?

The NPI number for County Of Calaveras is 1811945132. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is also known as Calaveras County Behavioral Health Services.

Where is County Of Calaveras located?

County Of Calaveras is located at 704 Mountain Ranch Rd Ste 103-105, San Andreas, CA 95249. The listed phone number is (209) 754-6525.

What is County Of Calaveras's specialty?

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

Is County Of Calaveras enrolled in Medicare?

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

How many clinicians bill Medicare through County Of Calaveras?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to County Of Calaveras, in Marriage and Family Therapist and Psychiatry. 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. 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 Calaveras was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.