COUNTY OF LAKE NPI 1619039211

NPI Information

  • NPI: 1619039211
  • Provider Name: COUNTY OF LAKE
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Other Name: LAKE COUNTY BEHAVIORAL HEALTH SERVICES
  • Address: 7000B S CENTER DR
    CLEARLAKE, CA
    ZIP 95422
  • Phone: (707) 994-7090

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NPI Details

COUNTY OF LAKE is a community behavioral health in Clearlake, CA. The provider is 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. COUNTY OF LAKE NPI is 1619039211. The provider is registered as an organization entity type.
The provider Other Name Is Lake County Behavioral Health Services.

The provider's business location address is:

7000B S CENTER DR
CLEARLAKE, CA
ZIP 95422-131
Phone: (707) 994-7090
Fax: (707) 994-7092

The provider's authorized official is Elise Jones .
The authorized official title is Behavioral Health Director and has the following contact phone number (707) 274-9101.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/26/2024.

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 License Number License State Primary
1251S00000XCommunity/Behavioral HealthCALIFORNIAYes

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
1171712MEDICAIDCALIFORNIA

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: 11/21/2025

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