| Lassen County Behavioral Health | |
|
555 Hospital Ln Susanville CA 96130-4808 | |
| (530) 251-8131 | |
| (530) 251-8070 |
| Full Name | Lassen County Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 555 Hospital Ln, Susanville, California |
| Authorized Official Name and Position | Perri Yvonne Smith (CHIEF FISCAL MANAGER - HEALTH AND S) |
| Authorized Official Contact | 5302518255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lassen County Behavioral Health 555 Hospital Lane Susanville CA 96130-4808 Ph: (530) 251-8108 | Lassen County Behavioral Health 555 Hospital Ln Susanville CA 96130-4808 Ph: (530) 251-8131 |
| NPI Number | 1871648055 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 9931363454 |
|---|---|
| Medicare Enrollment ID | O20120613000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871648055 | NPI | - | NPPES |
| 1801 | Medicaid | CA | |
| 1853 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan A Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982700365 PECOS PAC ID: 8325025398 Enrollment ID: I20040707000891 |
| Provider Name | Ornella Addonizio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154401149 PECOS PAC ID: 8123267911 Enrollment ID: I20130627000396 |
| Provider Name | Raymond Duane Hopson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407879240 PECOS PAC ID: 5496648685 Enrollment ID: I20181026001564 |
Integrative Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 472-100 Richmond Rd N, Susanville, CA 96130 Phone: 530-257-5462 Fax: 530-257-8954 | |
James L. Snell Phd Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Main Street, Suites 202 203, Susanville, CA 96130 Phone: 530-257-4404 Fax: 530-257-4404 | |
Icps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Bunyan Rd, Suite B, Susanville, CA 96130 Phone: 530-251-8277 | |
Lassen Intervention, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 N Lassen St, Susanville, CA 96130 Phone: 530-310-2755 | |
Lassen Aurora Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Cottage St, Susanville, CA 96130 Phone: 530-257-3864 | |
Lassen County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Hospital Ln, Susanville, CA 96130 Phone: 530-251-8080 Fax: 530-251-5884 | |
Lassen County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Chestnut St, Suite A, Susanville, CA 96130 Phone: 530-251-2610 Fax: 530-252-2670 |