MENDOCINO COUNTY NPI 1629107735

NPI Information

NPI: 1629107735
Provider Name: MENDOCINO COUNTY
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Other Name: BEHAVIORAL HEALTH & RECOVERY SERVICES - MENTAL HEALTH
Address: 474 E VALLEY ST
WILLITS, CA
ZIP 95490
Phone: (707) 472-2300

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NPI Details

MENDOCINO COUNTY is an adolescent and children mental health clinic center in Willits, CA. The provider is 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. MENDOCINO COUNTY NPI is 1629107735. The provider is registered as an organization entity type.
The provider Other Name Is Behavioral Health & Recovery Services - Mental Health.

The provider's business location address is:

474 E VALLEY ST
WILLITS, CA
ZIP 95490-606
Phone: (707) 472-2300
Fax: (707) 472-2331

The provider's authorized official is Jenine Miller .
The authorized official title is Bhrs Deputy Director and has the following contact phone number (707) 472-2300.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 1/17/2024.

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	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	302F00000X	Exclusive Provider Organization		No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes

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	2367	MEDICAID	CALIFORNIA
2	00023	MEDICAID	CALIFORNIA
3	BBB33295B	OTHER	CALIFORNIA	MH SUBMITTER #

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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