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WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zipCode": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "17", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [] } } ] }, { "id": 271, "lastName": "Lopez", "firstName": "Eduardo", "gender": "M", "npi": "1336794056", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 271, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 291, "providerId": 271, "siteId": 24, "isPrimary": true, "effDate": "2023-07-01", "expDate": "2026-06-30", "licenseNumber": "", "licenseType": "OTH", "serviceType": "IC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T12:39:48.5", "providerDto": { "id": 271, "lastName": "Lopez", "firstName": "Eduardo", "gender": "M", "npi": "1336794056", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 271, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 24, "planType": "MHP", "name": "CYS New Alternatives", "entity": "00136", "npi2": "1588878524", "effDate": "2023-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0855X", "address": "1202 W. CIVIC CENTER DR.", "city": "SANTA ANA", "state": "CA", "zipCode": "92703-2252", "phone": "(714) 245-0045", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Wraparound: provide case managemnt/Intensive care coordiantion and rehabilitation services/intensive home based services to facilitate youth's transition from residential care to a home environment and to prevent the transitions to a higher level of care." } } ] }, { "id": 550, "lastName": "Lopez", "firstName": "Casie", "middleName": "Elizabeth", "gender": "F", "npi": "1992149264", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 592, "providerId": 550, "siteId": 25, "isPrimary": true, "effDate": "2024-07-01", "expDate": "2026-06-30", "licenseNumber": "LMFT52559", "licenseType": "MFT", "serviceType": "CI;IC;IH;MH", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T12:54:37.863", "providerDto": { "id": 550, "lastName": "Lopez", "firstName": "Casie", "middleName": "Elizabeth", "gender": "F", "npi": "1992149264", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 25, "planType": "MHP", "name": "CYS South Coast Children's Society Wraparound", "entity": "00916", "npi2": "1497882161", "effDate": "2024-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "251S00000X", "address": "701 W KIMBERLY AVE", "address2": "STE. 120", "city": "PLACENTIA", "state": "CA", "zipCode": "92870-6345", "phone": "714-966-8666", "webSite": "http://www.sccs4kids.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Children and Youth\u00A0 Services (CYS) Wraparound provides intensive, community-based services to youth and families who are involved in the child welfare system, juvenile justice system and/or community mental heath system. Services include assessment, intensive case management services, intensive rehabilitative services, crisis intervention, and brief psychotherapy in effort to maintain youth's placement in a home-like setting, address mental health needs, and coordinate care across systems." } } ] }, { "id": 698, "lastName": "Lopez", "firstName": "Michelle", "middleName": "Emily", "gender": "F", "npi": "1447776133", "taxonomy": "106H00000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "B1;L1;T1", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 698, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 2269, "providerId": 698, "siteId": 26, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "LMFT119288", "licenseType": "MFT", "serviceType": "CI;IC;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-10-18T10:37:44.85", "providerDto": { "id": 698, "lastName": "Lopez", "firstName": "Michelle", "middleName": "Emily", "gender": "F", "npi": "1447776133", "taxonomy": "106H00000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "B1;L1;T1", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 698, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 26, "planType": "MHP", "name": "CYS CHOC Project HEALTH FSP", "entity": "01965", "npi2": "1780173583", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "1120 W. LA VETA AVE.", "address2": "660 & 470", "city": "ORANGE", "state": "CA", "zipCode": "92868", "phone": "(714) 509-8210", "adacompliant": "Y", "tddTtyAvail": "Y", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "CHOC Project HEALTH FSP provides a broad range of outpatient mental health services for to patients who present with co-occurring medical and mental health conditions. Services include evaluation, therapy, IHBS and rehab services, medication monitoring, intensive care coordination, crisis intervention, and collateral services to parents and families. Referral for hospitalization or residential treatment, consultation to medical teams, schools and other agencies, private and public services and case management for those placed in hospitals or other 24-hour settings are also provided.\u00A0" }, "populationServedPd": "CYS;TAY", "specialtiesPd": "3A;8A;12A;1B;3C;6C;7C;10C;1D;1E;1F;1I;3I;2L;6M;7M;3P;7S;8S;4T;5T;17S;16S;7T;20S" } ] }, { "id": 755, "lastName": "Lopez", "firstName": "Georgi", "middleName": "Nicole", "gender": "F", "npi": "1417636176", "taxonomy": "104100000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "Y", "culturalCapabilitiesPd": "A3;A4;A5;B1;C1;E1;F1;H1;H2;J1;L1;L3;M1;M2;N1;O1;V1", "chipPd": "Y", "tgitrainingPd": "Y", "providerLanguages": [], "providerSites": [ { "id": 824, "providerId": 755, "siteId": 27, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "114778", "licenseType": "ACS", "serviceType": "CI;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T13:05:34.473", "providerDto": { "id": 755, "lastName": "Lopez", "firstName": "Georgi", "middleName": "Nicole", "gender": "F", "npi": "1417636176", "taxonomy": "104100000X\u00A0", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "Y", "culturalCapabilitiesPd": "A3;A4;A5;B1;C1;E1;F1;H1;H2;J1;L1;L3;M1;M2;N1;O1;V1", "chipPd": "Y", "tgitrainingPd": "Y", "providerLanguages": [] }, "site": { "id": 27, "planType": "MHP", "name": "AMHS PACT Older Adult Services", "entity": "00030", "npi2": "1780721639", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "251B00000X", "address": "4000 W. METROPOLITAN DR.", "address2": "STE. 120", "city": "ORANGE", "state": "CA", "zipCode": "92868-3504", "phone": "(714) 972-3700", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Older Adult Services PACT (Program of Assertive Community Treatment) Provides mental health services for older adults who are seriously mentally ill and who frequently utilize emergency rooms, psychiatric and medical hospitals or incarcerations. Services are provided in the clinic and in the field 1X a week or as needed. Services include psychiatric & Nursing assessment/evaluation, on-going medication services, individual therapy, family therapy, case management, crisis assessment and intervention, and peer counseling. " }, "populationServedPd": "AOA", "specialtiesPd": "2E;3M;6A;3G;13C" } ] }, { "id": 795, "lastName": "Lopez", "firstName": "Liz", "middleName": "Hoang", "gender": "F", "npi": "1437240041", "taxonomy": "1041C0700X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 795, "code": "vie", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 870, "providerId": 795, "siteId": 28, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "26182", "licenseType": "CSW", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T13:07:43.583", "providerDto": { "id": 795, "lastName": "Lopez", "firstName": "Liz", "middleName": "Hoang", "gender": "F", "npi": "1437240041", "taxonomy": "1041C0700X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 795, "code": "vie", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 28, "planType": "MHP", "name": "AMHS South Clinic", "entity": "00030", "npi2": "1194862383", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0850X ", "address": "27141 ALISO CREEK RD", "address2": "SUITE 100", "city": "ALISO VIEJO", "state": "CA", "zipCode": "92656-3357", "phone": "(949) 643-6930", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "Y", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "The AMHS South Clinic uses a team approach to provide comprehensive outpatient behavioral health services. The clinic provides psychiatric treatment, recovery, and support to adults (age 18 and up) with serious and persistent mental illness. Clients typically have a serious and persistent mental disorder, may have an additional co-occurring substance use disorder, have impairments in their ability to function in the community, and may have a history of recurring substantial functional impairments." } } ] }, { "id": 1073, "lastName": "Lopez", "firstName": "Maria Del Refugio", "gender": "F", "npi": "1649727454", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1073, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 1301, "providerId": 1073, "siteId": 90, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "", "licenseType": "OTH", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-10T15:22:25.783", "providerDto": { "id": 1073, "lastName": "Lopez", "firstName": "Maria Del Refugio", "gender": "F", "npi": "1649727454", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1073, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 90, "planType": "MHP", "name": "AMHS Westminster Clinic", "entity": "00030", "npi2": "1649317116", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0850X ", "address": "14140 BEACH BLVD.", "address2": "STE. 200 & 223", "city": "WESTMINSTER", "state": "CA", "zipCode": "92683-4453", "phone": "(714) 896-7566", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;MHS;MSS;PSS;TCM", "providerSites": [], "siteSchedules": [] } }, { "id": 2109, "providerId": 1073, "siteId": 83, "isPrimary": false, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "", "licenseType": "OTH", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-06-06T11:38:40.873", "providerDto": { "id": 1073, "lastName": "Lopez", "firstName": "Maria Del Refugio", "gender": "F", "npi": "1649727454", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1073, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 83, "planType": "MHP", "name": "AMHS PACT Santa Ana TSR", "entity": "00030", "npi2": "1356488753", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0850X ", "address": "200 W SANTA ANA BLVD", "address2": "STE 1000", "city": "SANTA ANA", "state": "CA", "zipCode": "92701-7552", "phone": "714-480-6767", "webSite": "http://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [] } } ] }, { "id": 1187, "lastName": "Lopez", "firstName": "Derek", "gender": "M", "npi": "1811603442", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 1360, "providerId": 1187, "siteId": 20, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2026-06-30", "licenseType": "OTH", "serviceType": "MH", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-24T08:31:07.447", "providerDto": { "id": 1187, "lastName": "Lopez", "firstName": "Derek", "gender": "M", "npi": "1811603442", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 20, "planType": "MHP", "name": "AMHS Telecare TAO FSP", "entity": "00108", "npi2": "1265528038", "effDate": "2022-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "2531 W. WOODLAND DR.", "city": "ANAHEIM", "state": "CA", "zipCode": "92801-2637", "phone": "(714) 226-9888", "webSite": "http://www.telecarecorp.com", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "17", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [] } } ] }, { "id": 1628, "lastName": "Lopez", "firstName": "Esperanza", "gender": "F", "npi": "1841744349", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1628, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 1924, "providerId": 1628, "siteId": 128, "isPrimary": true, "effDate": "2023-07-01", "expDate": "2026-06-30", "licenseNumber": "MFT148877", "licenseType": "MFT", "serviceType": "CI;IC;IH;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-05-24T08:04:07.867", "providerDto": { "id": 1628, "lastName": "Lopez", "firstName": "Esperanza", "gender": "F", "npi": "1841744349", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1628, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 128, "planType": "MHP", "name": "CYS Waymakers Collaborative Courts Guidance Center", "entity": "00654", "npi2": "1982913612", "effDate": "2023-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "251S00000X", "address": "16580 HARBOR BLVD", "address2": "UNIT O", "city": "FOUNTAIN VALLEY", "state": "CA", "zipCode": "92708", "phone": "(714) 975-5201", "adacompliant": "Y", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Full Service Partnership provides culturally competent in-home and community based services for youth ages 0-25 struggling with mental illness, truancy and substance abuse issues. Specialized treatment includes Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Seeking Safety, and Trauma-Focused Cognitive Behavioral Therapy." } } ] }, { "id": 1749, "lastName": "Lopez", "firstName": "Carmelina", "middleName": "A", "gender": "F", "npi": "1053080408", "taxonomy": "164X00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1749, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 2068, "providerId": 1749, "siteId": 132, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2026-06-30", "licenseNumber": "259040", "licenseType": "LVN", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-05-31T09:36:47.047", "providerDto": { "id": 1749, "lastName": "Lopez", "firstName": "Carmelina", "middleName": "A", "gender": "F", "npi": "1053080408", "taxonomy": "164X00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1749, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 132, "planType": "MHP", "name": "AMHS Telecare Treehouse Crisis Residential North", "entity": "00108", "npi2": "1902312564", "effDate": "2022-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "323P00000X", "address": "2026 W. BEACON AVE.", "city": "ANAHEIM", "state": "CA", "zipCode": "92804-4406", "phone": "(657) 276-7030", "adacompliant": "Y", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;CRT;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "The TREEhouse (“Total Recovery Enriching Experience”) North is one of Telecare’s crisis residential program in Orange County. It is a safe environment for individuals who are experiencing a behavioral health crisis and need additional support to avoid hospitalization, stabilize symptoms, and return to their previous level of functioning. The program provides voluntary, short-term services, typically lasting 7 to 14 days. The program also provides co-occurring services for people who are experiencing a behavioral health crisis and also have substance use issues. The program employs peer counselors as well as licensed professionals, and provides services in a culturally sensitive manner." } } ] }, { "id": 1783, "lastName": "Lopez Ramirez", "firstName": "Veronica", "gender": "F", "npi": "1144778200", "taxonomy": "363LP0808X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "A2", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 2106, "providerId": 1783, "siteId": 104, "isPrimary": true, "effDate": "2021-07-01", "expDate": "2026-06-30", "licenseNumber": "95004774", "licenseType": "NPA", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-06-06T11:22:26.817", "providerDto": { "id": 1783, "lastName": "Lopez Ramirez", "firstName": "Veronica", "gender": "F", "npi": "1144778200", "taxonomy": "363LP0808X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "A2", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 104, "planType": "MHP", "name": "OC PROGRESSIVE RECOVERY INC", "entity": "00F30", "npi2": "1003340217", "effDate": "2021-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "2084P0800X", "address": "1100 W STEWART DR.", "city": "ORANGE", "state": "CA", "zipCode": "92868-3849", "phone": "(714) 633-9111", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "N", "facilityCode": "17", "serviceType": "MHS", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "OC Progressive Recovery Inc is a Psychiatry Clinic in Orange, California, specializing in the prevention, diagnosis, and treatment of various mental and emotional disorders. They offer diagnostic tests, medication, management and therapy for individuals and families." }, "populationServedPd": "CYS", "specialtiesPd": "3M" } ] }, { "id": 1971, "lastName": "Lopez", "firstName": "Juan", "middleName": "Eugene", "suffix": "Jr.", "gender": "M", "npi": "1285450031", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1971, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 2397, "providerId": 1971, "siteId": 3, "isPrimary": true, "effDate": "2025-07-01", "expDate": "2028-06-30", "licenseNumber": "", "licenseType": "MHR", "serviceType": "TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-12-30T09:49:22.363", "providerDto": { "id": 1971, "lastName": "Lopez", "firstName": "Juan", "middleName": "Eugene", "suffix": "Jr.", "gender": "M", "npi": "1285450031", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1971, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 3, "planType": "MHP", "name": "AMHS MHA West Region Outpatient & Recovery Services", "entity": "00482", "npi2": "1841320579", "effDate": "2025-07-01T00:00:00", "expDate": "2028-06-30T00:00:00", "taxonomy": "101YM0800X", "address": "3055 WEST ORANGE AVE.", "address2": "105", "city": "ANAHEIM", "state": "CA", "zipCode": "92804-3152", "phone": "(714) 638-8277", "webSite": "http://www.mhaoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [] } }, { "id": 2398, "providerId": 1971, "siteId": 4, "effDate": "2025-07-01", "expDate": "2028-06-30", "licenseType": "OTH", "serviceType": "TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-12-30T09:49:22.373", "providerDto": { "id": 1971, "lastName": "Lopez", "firstName": "Juan", "middleName": "Eugene", "suffix": "Jr.", "gender": "M", "npi": "1285450031", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1971, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 4, "planType": "MHP", "name": "AMHS Mental Health Association Lake Forest Recovery Center", "entity": "00482", "npi2": "1245435270", "effDate": "2025-07-01T00:00:00", "expDate": "2028-06-30T00:00:00", "taxonomy": "101YM0800X", "address": "22471 ASPAN ST.", "address2": "103", "city": "LAKE FOREST", "state": "CA", "zipCode": "92630-1642", "phone": "(949) 458-2715", "webSite": "http://www.mhaoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Severe, persistent mental illness, medication support, targeted case management, Individual therapy, Cognitive Behavioral Therapy (CBT)" } }, { "id": 2399, "providerId": 1971, "siteId": 44, "effDate": "2025-07-01", "expDate": "2028-06-30", "licenseType": "OTH", "serviceType": "TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-12-30T09:49:22.377", "providerDto": { "id": 1971, "lastName": "Lopez", "firstName": "Juan", "middleName": "Eugene", "suffix": "Jr.", "gender": "M", "npi": "1285450031", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 1971, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 44, "planType": "MHP", "name": "AMHS Mental Health Association Costa Mesa Recovery Center", "entity": "00482", "npi2": "1972632610", "effDate": "2025-07-01T00:00:00", "expDate": "2028-06-30T00:00:00", "taxonomy": "101YM0800X", "address": "3540 HOWARD WAY", "address2": "150", "city": "COSTA MESA", "state": "CA", "zipCode": "92626-1417", "phone": "(949)646-9227", "webSite": "http://www.mhaoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "MHA is a non-profit 501(c)3 tax-exempt Orange County, CA based social services organization. All our programs serve adults with severe and persistent psychiatric disorders. Our annual budget is approximately $8 million. Our recent independent audits indicate that our administrative and fund raising expenses are just 10% of our total annual budget. With the other 90% of our funds we serve over 10,000 Orange County residents each year.\nThe organization’s foundation is its volunteer board of directors, comprised currently of 11 members of our community. These lawyers, business people, doctors, nurses, clergy, social workers, family members and consumers all come together to set policy for the agency, to ensure adequate resources, and to help us plan for our future. The board is also responsible for the employment and supervision of the Chief Executive Officer.\nMHA’s staff numbers approximately 70 and includes masters and bachelors level staff, non-degreed staff who have significant life experiences, and direct consumers of our programs. Currently, one third of our staff are consumers of mental health services. MHA also contracts with psychiatrists and nurse practitioners in several of our programs.\nThe Mental Health Association of Orange County was incorporated in 1958. If you are interested in learning about MHA’s history, we have a special page for you." } } ] }, { "id": 2135, "lastName": "Lopez", "firstName": "Nancy", "gender": "F", "npi": "1861297673", "taxonomy": "172V00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2135, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 2610, "providerId": 2135, "siteId": 80, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseType": "OTH", "serviceType": "MH", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-04-22T08:06:42.687", "providerDto": { "id": 2135, "lastName": "Lopez", "firstName": "Nancy", "gender": "F", "npi": "1861297673", "taxonomy": "172V00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2135, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 80, "planType": "MHP", "name": "AMHS Anaheim Clinic", "entity": "00030", "npi2": "1245377423", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0850X ", "address": "222 S. HARBOR BLVD", "address2": "400", "city": "ANAHEIM", "state": "CA", "zipCode": "92805", "phone": "(714) 517-6300", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;PSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Adult and Older Adult (AOA) county clinics provides a range of outpatient services for those with severe mental illness, which include assessment, therapy, medication monitoring, crisis intervention, case management, and peer support. Referrals to outside agencies and housing can be given as appropriate, as well as coordination with outside programs." } } ] }, { "id": 2225, "lastName": "Lopez", "firstName": "Heinrich", "gender": "M", "npi": "1457147670", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 2734, "providerId": 2225, "siteId": 96, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2026-06-30", "licenseType": "MHR", "serviceType": "CI;IH;MH;TC", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-06-27T16:13:40.07", "providerDto": { "id": 2225, "lastName": "Lopez", "firstName": "Heinrich", "gender": "M", "npi": "1457147670", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 96, "planType": "MHP", "name": "AMHS Telecare Home First Central", "entity": "00108", "npi2": "1992312805", "effDate": "2022-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "12141 BROOKHURST ST.", "address2": "STE. 201", "city": "GARDEN GROVE", "state": "CA", "zipCode": "92840-2865", "phone": "(657) 261-7140", "webSite": "http://www.telecarecorp.com", "adacompliant": "Y", "tddTtyAvail": "Y", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [] } } ] }, { "id": 2274, "lastName": "Lopez", "firstName": "Yulyana", "gender": "F", "npi": "1659026169", "taxonomy": "175T00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 2797, "providerId": 2274, "siteId": 48, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2026-06-30", "licenseNumber": "MPSSAIOPLM", "licenseType": "PSS", "serviceType": "MH", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-07-28T11:25:49.41", "providerDto": { "id": 2274, "lastName": "Lopez", "firstName": "Yulyana", "gender": "F", "npi": "1659026169", "taxonomy": "175T00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 48, "planType": "MHP", "name": "AMHS Telecare TAO South FSP", "entity": "00108", "npi2": "1548512635", "effDate": "2022-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "275 EAST BAKER STREET", "address2": "SUITE A", "city": "COSTA MESA", "state": "CA", "zipCode": "92626-4566", "phone": "(714) 361-6760", "webSite": "http://www.telecarecorp.com", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Adult (18 to 59 years) Services provided in an outpatient setting on behalf of persons living with serious mental illness. Services include but are not limited to medication support, targeted case management, ECM, individual therapy, and, psychoeducational groups. Treatment modalites include but are not limited to Cognitive Behavioral Therapy, Dialectial Behavioral Therapy, Motivational Interviewing, Seeking Safety, Harm Reduction, Skill Building to support independence in the community, and, Telecare's Recovery Centered Clinical System." } } ] }, { "id": 2474, "lastName": "Lopez", "firstName": "Graciela", "gender": "F", "npi": "1265222343", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "L3;M3;M4;M5;T1", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 2474, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 3027, "providerId": 2474, "siteId": 120, "isPrimary": true, "effDate": "2023-07-01", "expDate": "2026-06-30", "licenseNumber": "", "licenseType": "MHR", "serviceType": "CI;IC;IH;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-08-20T09:38:08.213", "providerDto": { "id": 2474, "lastName": "Lopez", "firstName": "Graciela", "gender": "F", "npi": "1265222343", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "L3;M3;M4;M5;T1", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 2474, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 120, "planType": "MHP", "name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "effDate": "2023-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0855X", "address": "14632 YORBA ST.", "address2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zipCode": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "32", "serviceType": "CRT;MHS;MSS;TBY", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members. " }, "populationServedPd": "ADL;CYS", "specialtiesPd": "10C;13P;16S;17C;17S;1D;1K;1L;2I;3A;3F;5R;5T;7A;7M;7T" } ] }, { "id": 2540, "lastName": "Lopez", "firstName": "Jasmine", "middleName": "Jaylee", "gender": "F", "npi": "1063171155", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2540, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 3113, "providerId": 2540, "siteId": 10, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "", "licenseType": "OTH", "serviceType": "IC;IH;MH;TC", "telehealthFlag": "O", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-09-18T09:21:31.087", "providerDto": { "id": 2540, "lastName": "Lopez", "firstName": "Jasmine", "middleName": "Jaylee", "gender": "F", "npi": "1063171155", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2540, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 10, "planType": "MHP", "name": "CYS YRC Central (Youth Reporting Center)", "entity": "00030", "npi2": "1215055934", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QM0855X", "address": "1700 E SAINT ANDREW PL", "address2": "", "city": "SANTA ANA", "state": "CA", "zipCode": "92705", "phone": "(714) 667-7610", "webSite": "https://www.ochealthinfo.com/bhs", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;ICC;IHB;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Individual therapy, family therapy, medication support, targeted case management, rehabilitation services, group therapy" } } ] }, { "id": 2560, "lastName": "Lopez", "firstName": "Stephanie", "middleName": "Tzompantzi", "gender": "F", "npi": "1942035886", "taxonomy": "104100000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2560, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 3138, "providerId": 2560, "siteId": 54, "isPrimary": true, "effDate": "2023-07-01", "expDate": "2026-06-30", "licenseNumber": "131629", "licenseType": "ACS", "serviceType": "CI;IC;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-09-24T14:25:33.94", "providerDto": { "id": 2560, "lastName": "Lopez", "firstName": "Stephanie", "middleName": "Tzompantzi", "gender": "F", "npi": "1942035886", "taxonomy": "104100000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2560, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 54, "planType": "MHP", "name": "CYS Child Guidance Center East", "entity": "00479", "npi2": "1033238944", "effDate": "2023-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "251S00000X", "address": "600 W SANTA ANA BLVD", "address2": "STE. 600", "city": "SANTA ANA", "state": "CA", "zipCode": "92701-4552", "phone": "(714) 953-4455", "webSite": "http://cgcoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "10", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Child Guidance Center clinics provides a broad range of outpatient services for behaviorally, emotionally or mentally disordered children and adolescents, which include evaluation, therapy, medication monitoring, crisis intervention, and collateral services to parents and families. Referral for hospitalization or residential treatment, consultation to schools and other agencies, coordination with private and public services and case management for those placed in hospitals or other 24-hour settings are also provided." } } ] }, { "id": 2612, "lastName": "Lopez", "firstName": "Adrian", "gender": "M", "npi": "1275352809", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2612, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 3204, "providerId": 2612, "siteId": 77, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2026-06-30", "licenseNumber": "", "licenseType": "OTH", "serviceType": "TC", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-10-21T09:22:39.61", "providerDto": { "id": 2612, "lastName": "Lopez", "firstName": "Adrian", "gender": "M", "npi": "1275352809", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [ { "providerId": 2612, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 77, "planType": "MHP", "name": "AMHS STEPs Telecare FSP", "entity": "00108", "npi2": "1891092144", "effDate": "2022-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0801X", "address": "2100 N. BROADWAY", "address2": "STE. 100, 101, 203", "city": "SANTA ANA", "state": "CA", "zipCode": "92706-2624", "phone": "(714) 245-6881", "webSite": "http://www.telecarecorp.com", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;MHS;MSS;TCM", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Telecare Corporation's STEPS Full-Service Partnership (FSP) Program in Santa Ana provides\nFull-Service Partnership specialty mental health services to adults ages 18 - 59 years old who\nlive with severe and persistent mental illness (SPMI). The program provides a multidisciplinary\nteam approach which includes case managers, mental health rehabilitation specialists, housing\nspecialists, employment specialists, licensed vocational nurses, licensed waivered clinicians,\nlicense waivered team leads, psychiatrists, licensed substance use counselors, certified peer\nrecovery coach specialists and licensed clinicians that includes a Clinical Director and Program\nAdministrator. Mental health services provided are interventions that are carried out in the\nOrange County area. This program offers a low staff to member ratio and provides 60% of their\nservices in the community which includes locations such as member's residence, shelters,\ntemporary housing placements, parks, and wherever members are within the community. This\nprogram offers a Whole Person approach to care with the goal of delivering excellent and\neffective behavioral health services that engage individuals with complex needs in recovering\ntheir health, hopes and dreams." } } ] }, { "id": 2727, "lastName": "Lopez", "firstName": "Sandra", "middleName": "Hormisdas", "gender": "F", "npi": "1033900345", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "C2", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 2727, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 3443, "providerId": 2727, "siteId": 120, "isPrimary": true, "effDate": "2023-07-01", "expDate": "2026-06-30", "licenseNumber": "", "licenseType": "MHR", "serviceType": "CI;IC;IH;MH;TC", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2026-01-13T10:29:05.093", "providerDto": { "id": 2727, "lastName": "Lopez", "firstName": "Sandra", "middleName": "Hormisdas", "gender": "F", "npi": "1033900345", "taxonomy": "225400000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "C2", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 2727, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 120, "planType": "MHP", "name": "CYS WAYMAKERS CHILDREN'S SPECIALIZED SERVICES", "entity": "00654", "npi2": "1629430335", "effDate": "2023-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": "261QM0855X", "address": "14632 YORBA ST.", "address2": "SUITES B & C", "city": "TUSTIN", "state": "CA", "zipCode": "92780-2554", "phone": "(714) 714-0780", "webSite": "http://waymakersoc.org", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "32", "serviceType": "CRT;MHS;MSS;TBY", "providerSites": [], "siteSchedules": [], "programDescriptionPd": "Waymakers Children’s Specialized Services (CSS) provides outpatient behavioral health services in the community to youth, ages 12-17, who are at risk for placement outside of their home due to unmanaged behaviors. The program is voluntary and requires youth and family participation in counseling sessions. CSS is solution-focused and short-term, up to 7 weeks on average based on treatment goals, ending with connections to community resources for on-going care as needed. The goal of CSS is to promote recovery, success, safety, wellness, recovery and permanence in the home, school, workplace and community. The objective is to make reasonable efforts to stabilize behaviors and improve daily functioning for consumers and their family members. " }, "populationServedPd": "ADL;CYS", "specialtiesPd": "13P;17C;1L;3A" } ] }, { "id": 2743, "lastName": "Lopez", "firstName": "Carlos", "gender": "M", "npi": "1245063056", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "C2;C3;J1", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 3463, "providerId": 2743, "siteId": 65, "isPrimary": true, "effDate": "2024-07-01", "expDate": "2026-06-30", "licenseNumber": "", "licenseType": "OTH", "serviceType": "MH", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2026-01-15T17:10:55.453", "providerDto": { "id": 2743, "lastName": "Lopez", "firstName": "Carlos", "gender": "M", "npi": "1245063056", "taxonomy": "373H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "C2;C3;J1", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 65, "planType": "MHP", "name": "CYS Olive Crest Wraparound", "entity": "00518", "npi2": "1548393929", "effDate": "2024-07-01T00:00:00", "expDate": "2026-06-30T00:00:00", "taxonomy": " 251V00000X;251S00000X", "address": "2130 E. 4TH ST.", "address2": "200", "city": "SANTA ANA", "state": "CA", "zipCode": "92705", "phone": "(714) 543-5437", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "serviceType": "CIS;ICC;IHB;MHS;MSS;TBY;TCM", "providerSites": [], "siteSchedules": [] }, "populationServedPd": "CYS;TAY", "specialtiesPd": "1J;3A;3C;3F;4L;4T" } ] }, { "id": 3091, "lastName": "Lopez", "firstName": "Amanda", "middleName": "Marie", "gender": "F", "npi": "1518535723", "taxonomy": "101YA0400X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [], "providerSites": [ { "id": 3856, "providerId": 3091, "siteId": 175, "isPrimary": true, "effDate": "2025-07-01", "expDate": "2027-06-30", "licenseNumber": "17445RC", "licenseType": "SUR", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-18T22:23:00.337", "providerDto": { "id": 3091, "lastName": "Lopez", "firstName": "Amanda", "middleName": "Marie", "gender": "F", "npi": "1518535723", "taxonomy": "101YA0400X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 175, "planType": "DMC", "name": "ADAS SUD Twin Town Laguna Hills", "entity": "SUD06", "npi2": "1881020626", "effDate": "2025-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QR0405X", "address": "23521 PASEO DE VALENCIA", "address2": "STE B5", "city": "LAGUNA HILLS", "state": "CA", "zipCode": "92653", "phone": "(949) 540-0170", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "providerSites": [], "siteSchedules": [] } }, { "id": 3919, "providerId": 3091, "siteId": 177, "effDate": "2025-07-01", "expDate": "2027-06-30", "licenseNumber": "17445RC", "licenseType": "SUR", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-18T22:26:42.463", "providerDto": { "id": 3091, "lastName": "Lopez", "firstName": "Amanda", "middleName": "Marie", "gender": "F", "npi": "1518535723", "taxonomy": "101YA0400X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 177, "planType": "DMC", "name": "ADAS SUD Twin Town Orange", "entity": "SUD06", "npi2": "1407282247", "effDate": "2025-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QR0405X", "address": "705 W LA VETA AVE.", "address2": "STE 208", "city": "ORANGE", "state": "CA", "zipCode": "92868", "phone": "(714) 532-9295", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "providerSites": [], "siteSchedules": [] } }, { "id": 3982, "providerId": 3091, "siteId": 176, "effDate": "2025-07-01", "expDate": "2027-06-30", "licenseNumber": "17445RC", "licenseType": "SUR", "telehealthFlag": "B", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2024-04-18T22:30:24.373", "providerDto": { "id": 3091, "lastName": "Lopez", "firstName": "Amanda", "middleName": "Marie", "gender": "F", "npi": "1518535723", "taxonomy": "101YA0400X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "chipPd": "N", "tgitrainingPd": "N", "providerLanguages": [] }, "site": { "id": 176, "planType": "DMC", "name": "ADAS SUD Twin Town Los Alamitos", "entity": "SUD06", "npi2": "1295820835", "effDate": "2025-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QR0405X", "address": "4281 KATELLA AVE.", "address2": "STE 117", "city": "LOS ALAMITOS", "state": "CA", "zipCode": "90720-3590", "phone": "(562) 596-0050", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "providerSites": [], "siteSchedules": [] } } ] }, { "id": 3706, "lastName": "Lopez", "firstName": "Esperanza", "gender": "F", "npi": "1841744349", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 3706, "code": "spa", "fluency": "B", "validFlag": "Y" } ], "providerSites": [ { "id": 4995, "providerId": 3706, "siteId": 166, "isPrimary": true, "effDate": "2022-07-01", "expDate": "2027-06-30", "licenseNumber": "148877", "licenseType": "MFT", "telehealthFlag": "N", "acceptNew": "Y", "validFlag": "Y", "dbInsertDt": "2025-12-10T11:11:24.917", "providerDto": { "id": 3706, "lastName": "Lopez", "firstName": "Esperanza", "gender": "F", "npi": "1841744349", "taxonomy": "106H00000X", "engFluency": "Y", "culturalTraining": "Y", "medicarePd": "N", "culturalCapabilitiesPd": "", "chipPd": "N", "tgitrainingPd": "Y", "providerLanguages": [ { "providerId": 3706, "code": "spa", "fluency": "B", "validFlag": "Y" } ] }, "site": { "id": 166, "planType": "DMC", "name": "ADAS SUD Santa Ana", "entity": "00030", "npi2": "1518080217", "effDate": "2022-07-01T00:00:00", "expDate": "2027-06-30T00:00:00", "taxonomy": "261QR0405X", "address": "200 W SANTA ANA BLVD", "address2": "SUITE 100", "city": "SANTA ANA", "state": "CA", "zipCode": "92701-4134", "phone": "(714) 480-6660", "webSite": "http://www.ochealthinfo.com", "adacompliant": "Y", "tddTtyAvail": "N", "telehealthAvail": "B", "facilityCode": "25", "providerSites": [], "siteSchedules": [] } } ] } ]