Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc - Mental Health Clinic in Mckinleyville, CA

Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Mckinleyville, California. The current practice location for Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is 1776 Market Ave, Mckinleyville, California. For appointments, you can reach them via phone at (503) 440-5924. The mailing address for Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is 1776 Market Ave, Mckinleyville, California and phone number is () -.

Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1407546989. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 440-5924.

Contact Information

Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
1776 Market Ave
Mckinleyville
CA 95519-4209
(503) 440-5924
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameAgate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location1776 Market Ave, Mckinleyville, California
Authorized Official Name and PositionBo Jason Hamer (CEO - CLINICAL DIRECTOR)
Authorized Official Contact5034405924
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
1776 Market Ave
Mckinleyville
CA 95519-4209

Ph: () -
Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
1776 Market Ave
Mckinleyville
CA 95519-4209

Ph: (503) 440-5924

NPI Details:

NPI Number1407546989
Provider Enumeration Date05/09/2023
Last Update Date05/10/2023
Certification Date05/10/2023

Medical Identifiers

Medical identifiers for Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407546989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary

Reviews and Comments

Clinic/Center in Mckinleyville, CA

Aba Humboldt
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1622 Bartow Rd, Mckinleyville, CA 95519
Phone: 707-672-5527    Fax: 707-633-1755
Humboldt County Behavioral Health
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1615 Heartwood Drive, Mckinleyville, CA 95519
Phone: 707-268-2990    
Two Feathers Native American Family Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1560 Betty Ct Unit A, Mckinleyville, CA 95519
Phone: 707-839-1933    
Soper Family Psychiatry Medical Group
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1836 Central Ave Ste A, Mckinleyville, CA 95519
Phone: 707-445-4705    Fax: 707-445-0581
North Coast Nurture Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1225 Central Ave Ste 2, Mckinleyville, CA 95519
Phone: 707-601-5622    Fax: 707-840-6036
North Coast Psychotherapy Center For Anxiety And Ocd, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1660 Central Ave Ste F, Mckinleyville, CA 95519
Phone: 949-400-5069    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.