Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missing Elements

Organization Mental Health Counselor · NPI 1487908620

Missing Elements provides Mental Health Counselor services in Santa Rosa, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
3

Practice location Address checks out

1717 Yulupa Ave Ste 5
Santa Rosa, CA 95405-6201
Phone: (707) 560-1051
Fax: (866) 803-4979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence IMF55305 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1487908620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suze Cribbs — Clinical Director · (707) 560-1051
NPI enumeratedNovember 8, 2012
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing addressPo Box 882, Santa Rosa, CA 95402-0882

Other providers in Santa Rosa