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 is a Mental Health Counselor 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