MEDICARE: CRISIS INTERVENTION SPECIALIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1063545531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRISIS INTERVENTION SPECIALIST

Provider Business Mailing Address
First Line	:	10585 SIERRA ESTATES DR
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-9401
Country	:	US
Telephone Number	:	530-401-3894
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 CIRBY HILLS DR
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-4360
Country	:	US
Telephone Number	:	530-401-3894
Fax Number	:

Authorized Official
Title or Position	:	CRISIS COUNSELOR
Name	:	MR. JEFFREY GRANT ADORADOR
Credential	:
Telephone Number	:	530-401-3894

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1902583826 — ARIANA I GARCIA
Practice Location Address:

101 CIRBY HILLS DR
ROSEVILLE, CA
95678-4360

Practice Phone: 916-787-8898
Practice Fax:

1497225098 — STEPHANIE WIGLEY AMFT
Practice Location Address:

101 CIRBY HILLS DR
ROSEVILLE, CA
95678-4360

Practice Phone: 916-872-6543
Practice Fax:

1962493460 — LINDA W BUDD NP
Practice Location Address:

101 CIRBY HILLS DR
ROSEVILLE, CA
95678-4360

Practice Phone: 916-787-8800
Practice Fax: 916-787-8857

1194813717 — TELCARE CORPORATION
Practice Location Address:

101 CIRBY HILLS DR STE 4
ROSEVILLE, CA
95678-4360

Practice Phone: 916-787-8900
Practice Fax: 916-787-8919

1720110489 — MRS. JEANNETTE ANNE ADAMSKI-CHURCH CSP II
Practice Location Address:

101 CIRBY HILLS DR , SUITE 5
ROSEVILLE, CA
95678-4360

Practice Phone: 916-787-8979
Practice Fax: 916-787-8989

1912039199 — JUDITH ELAINE GRIFFIN LCSW
Practice Location Address:

101 CIRBY HILLS DR
ROSEVILLE, CA
95678-4360

Practice Phone: 916-787-8884
Practice Fax:

Directions to “CRISIS INTERVENTION SPECIALIST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.