REDWOOD COMMUNITY SERVICES INC. NPI 1174661284

NPI Information

NPI: 1174661284
Provider Name: REDWOOD COMMUNITY SERVICES, INC.

Other Name: RCS WILLITS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
99 S HUMBOLDT ST
WILLITS, CA
ZIP 95490
Phone: (707) 459-9900
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REDWOOD COMMUNITY SERVICES, INC. is a mental health counselor in Willits, CA. REDWOOD COMMUNITY SERVICES, INC. NPI is 1174661284. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Rcs Willits.

The provider's business location address is:

99 S HUMBOLDT ST
WILLITS, CA
ZIP 95490-509
Phone: (707) 459-9900
Fax: (707) 459-9904

The provider's authorized official is Victoria Jerusha Kelly .
The authorized official title is Chief Executive Director and has the following contact phone number (707) 467-2010.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	Yes
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No
4	171M00000X	Case Manager/Care Coordinator		No
5	171W00000X	Contractor		No
6	251B00000X	Case Management		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	49ED1	OTHER	CALIFORNIA	SONOMA CO PROVIDER NO.
2	23AW	OTHER	CALIFORNIA	MENDOCINO CO MH SITE #
3	1174661284	MEDICAID	CALIFORNIA
4	41A4	OTHER	CALIFORNIA	SAN MATEO MH SITE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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