CENTRAL COAST TRSTMENT CENTER
NPI 1144605288
Community/Behavioral Health in Santa Maria, CA

NPI Status: Active since July 29, 2015

Contact Information

201 S MILLER ST STE 104
SANTA MARIA, CA
ZIP 93454
Phone: (805) 801-1299

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D0587426
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About CENTRAL COAST TRSTMENT CENTER

This page provides the complete NPI Profile along with additional information for Central Coast Trstment Center, a provider established in Santa Maria, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1144605288 assigned on July 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. James Gregg Goodwin I Lmft (Cfo)

NPI
1144605288
Provider Name
CENTRAL COAST TRSTMENT CENTER
Entity Type
Organization
Location Address
201 S MILLER ST STE 104 SANTA MARIA, CA 93454
Location Phone
(805) 801-1299
Mailing Address
201 S MILLER ST STE 104 SANTA MARIA, CA 93454
Mailing Phone
(805) 801-1299
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2015
Last Update Date
07-29-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAMES GREGG GOODWIN I LMFT

Authorized Official Title
CFO
Authorized Official Phone
(805) 801-1299

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0587426
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JOHN P. OKERBLOM
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Central Coast Trstment Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144605288
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218412010216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 2 + 0 + 1 + 0 + 2 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1144605288 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184822603MR. ALEX MAYNES ZUNIGA
Individual
Counselor (Addiction (Substance Use Disorder))201 S MILLER ST STE 104
SANTA MARIA, CA 93454
(805) 925-9811
1962634121 ROBERT HOGGATT
Individual
Case Manager/Care Coordinator201 S MILLER ST STE 104
SANTA MARIA, CA 93454
(805) 348-1850
1033444757 WENDY FOX
Individual
Case Manager/Care Coordinator201 S MILLER ST STE 104
SANTA MARIA, CA 93454
(805) 348-1850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144605288, enumerated in the NPI registry as an "organization" on July 29, 2015

The provider is located at 201 S Miller St Ste 104 Santa Maria, Ca 93454 and the phone number is (805) 801-1299

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider's CLIA number is 05D0587426 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 29, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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