Organization · Type 2 NPI

County of Lake

Community/Behavioral Health Agency · Clearlake, CA

NPI number 1356181127 Active

Practice location

14092 Lakeshore Dr
Clearlake, CA 95422-8160

Call (707) 994-4261 Map

Mailing address

PO Box 1024
Lucerne, CA 95458-1024

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: 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 suppo…

Another provider at this address

Anarosa Solorio MaciasPeer Specialist Clearlake, CA NPI 1770404477

Other community/behavioral health agency providers in Clearlake

See all in Clearlake →

NPI record

NPI: 1356181127
Entity type: Organization (Type 2)
Issued: May 29, 2024
Last updated: Oct 8, 2026
Status: Active
Subpart: Yes of County of Lake

Other names

<unavail>
La Voz de la Esparanza · doing business as
Lakeshore Center · doing business as

Authorized official

Elise Jones Ma
Director
(707) 274-9101

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356181127

County of Lake's National Provider Identifier is 1356181127, issued on May 29, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Clearlake, CA. The record was last updated on Oct 8, 2026.