Page 1 of 44

County of Imperial

Substance Use Disorder Treatment Services

Provider Directory

This provider directory, along with information about SUD treatment services, is available online at

http://www.co.imperial.ca.us/behavioralhealth/otherpdfs/DMCODSProviderListJuly1.pdf or by request at (800) 817-5292.

March 2019

http://www.co.imperial.ca.us/behavioralhealth/otherpdfs/DMCODSProviderListJuly1.pdf

Page 2 of 44

LANGUAGE ASSISTANCE

English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-800-817-5292 (TTY: 1-800-539-8868).

ATTENTION: Auxiliary aids and services, including but not limited to large print documents and alternative formats, are available to you free of charge upon request. Call 1-800-817-5292 (TTY: 1-800-539-8868). Espaol (Spanish) ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-800-817-5292 (TTY: 1-800-539-8868). Ting Vit (Vietnamese) CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. Gi s 1-800-817-5292 (TTY: 1-800-539-8868). Tagalog (Tagalog Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-817-5292 (TTY: 1-800-539-8868).

(Korean)

: , . 1-800-817-5292 (TTY: 1-800-539-

8868) .

(Chinese)

1-800-817-5292 (TTY: 1-800-539-8868).

Page 3 of 44

(Armenian)

,

: 1-800-817-5292 (TTY: 1-800-539-8868). (Russian) : , . 1-800-817-5292 (TTY: 1-800-539-8868). (Farsi)

: . (TTY: 1-800-539-8868) 5292-817-800-1 .

(Japanese)

1-800-817-5292 (TTY: 1-800-539-8868)

Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-817-5292 (TTY: 1-800-539-8868).

(Punjabi) : , 1-800-817-5292 (TTY: 1-800-539-8868) ' (Arabic)

8868-539-800-1) : 5292-817-800-1: .

(Hindi) : 1-800-817-5292 (TTY: 1-800-539-8868)

Page 4 of 44

(Thai) : 1-800-817-5292 (TTY: 1-800-539-8868). (Cambodian) , 1-800-817-5292 (TTY: 1-800-539-8868)

(Lao) : , , , . 1-800-817-5292 (TTY: 1-800-539-8868).

Page 5 of 44

PLEASE NOTE:

Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a Licensed practitioner operating within their scope of practice. Only Licensed, waivered, or registered mental health providers

and licensed substance use disorder services providers are listed on the Plans provider directory.

Page 6 of 44

County-Operated Substance Use Disorders (SUD) Treatment

Authorization or referral may be required to access some providers.

Outpatient Office Based

Provider: Adult ODF Recovery Center

Address: 2695 S. 4th St., 2nd Floor El Centro, CA 92243

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Bushra Ahmad, MD License # A73057 NPI # 1043356850 Specialty: State of California Medical Board of California Certified

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

Yes

Manjusha Ilapakurti, MD License # A132203 NPI # 1154671980 Specialty: State of California Medical Board of California Certified

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/ Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc

Page 7 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

Laura Lugo, LMFT License # 105228 NPI # 1699922104 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, African American, LGBTQ, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Anna San Pedro, LMFT License # 83033 NPI # 1548536501 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, African American,

Older Adult, LGBTQ, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Laura Escalera, AMFT Associate # 105228 NPI # 1699922104 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, African American, LGBTQ, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Page 8 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

Rodolfo Mercado, ACSW Associate # 81287 NPI # 1356890248 Specialty: CA Board of Behavioral Science-Associate Clinical Social Worker

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Sonia Becerra, AMFT Associate # 98059 NPI # 1417343849 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Page 9 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

Eufemio Anaya, AMFT Associate # 92740 NPI # 1487849345 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client

Yes

Monica Adame, AMFT Associate # 82167 NPI # 1619373933 Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist

Adults

Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

Yes

Andrea Saldivar, ACSW Associate # 78560 NPI #1538519327 Specialty: CA Board of Behavioral Science-Associate Clinical Social Worker

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American, Hispanic, African American,

Older Adult, LGBTQ, Mental Health Client,

Family of Mental Health Client

Yes

Page 10 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence Training

Bonnie Walther, CADC & AMFT Certification #: Ci23400518 Associate #: 105300 NPI# 1265809040 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol and Drug Counselor (CADC) & CA Board of Behavioral Science- Associate Marriage & Family Therapist

Adults Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Jaime Murillo, RADT Registration # 9347-R NPI# 1205340965 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Registered Alcohol and Drug Technician (RADT)

Adults Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Black/African American,

Hispanic/Latino, Older Adults, White, Mental Health Clients,

Family of Mental Health Client,

Substance Use Disorder Clients, Family Members of Substance Use

Disorders, Disabled

Yes

Page 11 of 44

Outpatient Office Based

Provider: Adolescent Outpatient Drug Free

Address: 1295 W. State Street Suites 101-106 El Centro, CA 92243

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Bushra Ahmad, MD License # A73057 NPI # 1043356850 Specialty: State of California Medical Board of California Certified

Adolescents Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes *Sign Language upon request

*Other languages

upon request

American, Hispanic, Asian/Pacific

Islander, Pakistani, Alaskan/Native

American, African American, Older Adult, LGBTQ, Mental Health

Client, Family of Mental Health

Client, Disabled

Yes

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Julie Luna, AMFT Associate #: 73593 NPI # 1780045369

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White,

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 12 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Outpatient Program (IOP)

Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Page 13 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Calexico High School

Address: 1030 Encinas Ave., Calexico, CA 92231

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Richard Luna, CADS Certification # C8301214 NPI # 1043357502 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 14 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Calexico High School 9th Grade

Address: 824 Blair Ave., Calexico, CA 92231

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Richard Luna, CADS Certification # C8301214 NPI # 1043357502 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS) Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 15 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Aurora High School

Address: 1391 Kloke Ave., Calexico, CA 92231

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Richard Luna, CADS Certification # C8301214 NPI # 1043357502 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 16 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Calexico Academy School

Address: 813 Andrade Ave., Calexico, CA 92231

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Richard Luna, CADS Certification # C8301214 NPI # 1043357502 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug

Free (ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 17 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Central Union High School

Address: 1001 W. Brighton Ave., El Centro, CA 92243

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Richard Luna, CADS Certification # C8301214 NPI # 1043357502 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients, Substance Use

Disorder Clients, Disabled

Yes

Julie Luna, AMFT Associate #: 73593

Adolescents Non-Perinatal Outpatient Drug

Yes Spanish

American Indian/Alaskan

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 18 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

NPI # 1780045369 Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Free (ODF) &

Intensive Outpatient

Program (IOP)

*Sign Language upon request

*Other languages

upon request

Native, Black/ African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Page 19 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Valley Academy School

Address: 253 E. Ross Ave., El Centro, CA 92243

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Gabia Ambrocio, AMFT Associate # 76034 NPI # 1811138449 Specialty: CA Board of Behavioral Science-Associate Marriage and Family Therapist

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

Hispanic, Mental Health Client,

Family of Mental Health Client,

Disabled

Yes

Richard Luna, CADS Certification # C8301214 NPI#1043357502 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino, Older Adults,

LGBTQ, White, Mental Health Clients, Family

Members of Mental Health

Clients, Substance Use Disorder

Clients, Family Members of

Substance Use Disorder Clients,

Disabled

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 20 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Julie Luna, AMFT Associate #: 73593 NPI # 1780045369 Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Yes

Page 21 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Brawley Union High School

Address: 480 N. Imperial Ave., Brawley, CA 92227

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Julie Luna, AMFT Associate # 73593 NPI # 1780045369 Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Yes

Maria Elena Fierro, CADS Certification # C1611214 NPI # 1568640282 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled,

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 22 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Substance Use Disorder Clients,

Family Members of Substance Use Disorder Clients

Page 23 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Del Rio Academy School

Address: 1501 I Street, Brawley, CA 92227

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Julie Luna, AMFT Associate #: 73593 NPI # 1780045369 Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Yes

Maria Elena Fierro, CADS Certification # C1611214 NPI # 1568640282 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled,

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 24 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Substance Use Disorder Clients,

Family Members of Substance Use Disorder Clients

Page 25 of 44

Outpatient School Based

Provider: Adolescent Outpatient Drug Free Desert Valley High School

Address: 104 Magnolia Street, Brawley, CA 92227

Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Phone: (442) 265-1525 or 1-800-817-5292

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Julie Luna, AMFT Associate #: 73593 NPI# 1780045369 Specialty: CA Board of Behavioral Science-Associate Marriage & Family Therapist

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled, Substance Use

Disorder Clients, Family Members of

Substance Use Disorder Clients

Yes

Maria Elena Fierro, CADS Certification # C1611214 NPI # 1568640282 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Adolescents Non-Perinatal Outpatient Drug Free

(ODF) &

Intensive Outpatient

Program (IOP)

Yes Spanish

*Sign Language upon request

*Other languages

upon request

American Indian/Alaskan Native, Black/

African American, Hispanic/Latino,

Older Adults, LGBTQ, White, Mental Health Clients, Family

Members of Mental Health Clients,

Disabled,

Yes

http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf

Page 26 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Substance Use Disorder Clients,

Family Members of Substance Use Disorder Clients

Page 27 of 44

Contracted Substance Use Disorders (SUD) Treatment Providers

For referrals and verification that the contracted SUD treatment providers listed below are accepting new Medi-Cal

beneficiaries, please contact the Access Unit at 1-800-817-5292.

Narcotic Treatment Provider

Provider: Imperial Valley Medical Clinic, Inc.

Address: 535 W. Cesar Chavez Blvd., Calexico, CA 92231

Website:

Phone: (760) 357-6566

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Bernardo Ng, MD License # A48774 NPI # 1598780736 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes

Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African,

Hispanic/Latino, Substance Use Disorder Clients

Yes

Lucian Oprea, MD License # A92196 NPI # 1033329792 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes

Spanish

French

Romanian

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African,

Hispanic/Latino, Substance Use Disorder Clients

Yes

Page 28 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Rita Elain Starritt, MD License # C54648 NPI # 1548225964 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Freddy Carreno, NP License # 14151 NPI # 1144420928 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Chip Booher, NP License # 95000248 NPI # 1841617529 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 29 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Angela Melendez, AODC

Certification # 6781

NPI # 1871025569

Specialty: California Association of DUI Treatment Programs Alcohol/Other Drug Counselor

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes N/A American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Jose Lopez, CADS

Certification # C040191116

NPI # 1639575566

Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Certified Alcohol Drug Counselor (CADS)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Jose Leonardo Cital, RADT

CCAPP Reg # R1330481218

NPI# 1508365180 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Registered Alcohol and Drug Technician (RADT)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 30 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Norma M. Apodaca, MSW CADS Certification # C29801214 NPI # 1417151580 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 31 of 44

Narcotic Treatment Provider

Provider: Medical Treatment Center

Address: 200 S. 5th St., El Centro, CA 92243

Website:

Phone: (760) 482-0864

Accessible to people with physical disabilities: Yes

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Bernardo Ng, MD License # A48774 NPI # 1598780736 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes

Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Lucian Oprea, MD License # A92196 NPI # 1033329792 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish

French

Romanian

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 32 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Rita Elain Starritt, MD License # C54648 NPI # 1548225964 Specialty: State of California Medical Board of California Certified

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Freddy Carreno, NP License # 14151 NPI # 1144420928 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Chip Booher, NP License # 95000248 NPI # 1841617529 Specialty: California Board of Registered Nursing - Nurse Practitioner

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 33 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Norma M. Apodaca, MSW CADS Certification # C29801214 NPI # 1417151580 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Certified Alcohol Drug Counselor (CADS)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Norma Quinones, CADS Certification # C3731214 NPI # 1467656520 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Certified Alcohol Drug Counselor (CADS)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes

Spanish

American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 34 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Jeff Rose, CADS Certification # C26971214 NPI #1427331941 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Certified Alcohol Drug Counselor

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes N/A American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Linda Thomas, RADT & ACSW Registration # R1301510418 Associate # 61544 NPI # 1538536974 Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Registered Alcohol and Drug Technician (RADT) & CA Board of Behavioral Science- Associate Clinical Social Worker

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes N/A American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 35 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Daniel Plascencia, RADT

Registration # R10721214

NPI #1811300031

Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Registered Alcohol and Drug Technician (RADT)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino, Substance Use Disorder Clients

Yes

Miguel Gomez, RADT

Registration # R1238910916

NPI # 1326418203

Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Registered Alcohol and Drug Technician (RADT)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Gloria Guzman, RADT

Registration # R1213790915

NPI # 1558785931

Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) - Registered Alcohol and Drug Technician (RADT)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 36 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Elizabeth M. Costales, RADT

Registration #: R1257750717

NPI # 1164931010

Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Registered Alcohol and Drug Technician (RADT)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Daniel Valadez, RADT

Registration #R1330611218

NPI # 1366910275

Specialty: California Consortium of Addiction Programs and Professionals (CCAPP) Registered Alcohol and Drug Technician (RADT)

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Stephanie Talamantes, RADT

Registration #R1338980219

NPI # 1588129811

Specialty: California Consortium of Addiction Programs and

Perinatal, Adults

Narcotic Treatment

Program (NTP)

Yes Spanish American Veterans, older Adults,

LGBTQ, Indian/Alaskan

Native, Black/African

Hispanic/Latino Substance Use Disorder Clients

Yes

Page 37 of 44

Provider Name and Specialty

Population Served

Service Category

Accepting New Medi-Cal

Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Professionals (CCAPP) Registered Alcohol and Drug Technician (RADT)

Page 38 of 44

Residential Treatment Provider

Provider: McAlister Institute for Treatment and Education - Group Home East

Address: Group Home locations are kept confidential 1400 Johnson Ave #101, El Cajon, CA 92020 (Administration)

Website: www.mcalisterinc.org

Phone: (619) 442-0277 ext. 108

Accessible to people with physical disabilities: Yes

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Eric Blank, Licensed Marriage and Family Therapist (LMFT) License #: 110647 NPI #: 1033582796 Specialty: CA Board of Behavioral Science- Licensed Marriage and Family Therapist (LMFT)

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Leticia Schmitten, Associate Marriage and Family Therapist (AMFT) License #: 97965 NPI #: 1619491503 Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

http://www.mcalisterinc.org/

Page 39 of 44

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Jennifer Robinson, Associate Marriage and Family Therapist (AMFT) License #: 97030 NPI #: 1477091361 Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes American Sign Language

(ASL)

Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Margaret Lillywhite, Licensed Clinical Social Worker (LCSW) License #: 27449 NPI #: 1144370453 Specialty: CA Board of Behavioral Science- Licensed Clinical Social Worker (LCSW)

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Sharayah Horne, Substance Abuse Counselor (SAC) Registration #: R1213180915 NPI #: 1174907620 Specialty: Registered Substance Abuse Counselor

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Page 40 of 44

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Daisha Crosby, Substance Abuse Counselor (SAC) Registration #: R1240240916 NPI #: 1578016242 Specialty: Registered Substance Abuse Counselor

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Yuriko Grijalva, Substance Abuse Counselor (SAC) Registration #: R1321450918 NPI #: 1538658976 Specialty: Registered Substance Abuse Counselor

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Tye Krieger, Substance Abuse Counselor (SAC) Registration #: R1280371017 NPI #: 1184194300 Specialty: Registered Substance Abuse Counselor

Children & Youth (Male

Adolescents)

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Page 41 of 44

Demetrius Green, Substance Abuse Counselor (SAC) Registration #: Pending NPI #: 1184194490 Specialty: Registered Substance Abuse Counselor (SAC)

Children and Youth (Male Adolescents

Adolescent residential

SUD treatment

Yes No Co-occurring disorders,

Yes

Daniel Cruz, Substance Abuse Counselor (SAC) Registration #: R1331191218 NPI #: 1497296958 Specialty: Registered Substance Abuse Counselor (SAC)

Children and Youth (Male Adolescents

Adolescent residential

SUD treatment

Yes No Co-occurring disorders,

Yes

Duane Preston, Substance Abuse Counselor (SAC) Registration #: R1332661218 NPI #: 1679043749 Specialty: Registered Substance Abuse Counselor (SAC)

Children and Youth (Male Adolescents

Adolescent residential

SUD treatment

Yes No Co-occurring disorders,

Yes

Page 42 of 44

Residential Treatment Provider

Provider: McAlister Institute for Treatment and Education, Inc.- Adolescent Group Home South

Address: Group Home locations are kept confidential 1400 Johnson Ave #101, El Cajon, CA 92020 (Administration)

Website: www.mcalisterinc.org

Phone: (619) 442-0277 ext. 108

Accessible to people with physical disabilities: Yes

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Adrianna Rodriguez, Associate Marriage and Family Therapist (AMFT) License #: 103139 NPI #: 1013389188 Specialty: CA Board of Behavioral Science- Associate Marriage and Family Therapist (AMFT)

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Toni Boyce, Substance Abuse Counselor (SAC) Certification #: A043900317 NPI #: 1144594227 Specialty: Certified Substance Abuse Counselor

Children & Youth

*Female

Adolescents )

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Christine Ahaiwe, Substance Abuse Counselor (SAC) Registration # R1302150418 NPI # 1932609393

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

http://www.mcalisterinc.org/

Page 43 of 44

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Specialty: Registered Substance Abuse Counselor

Christine Byrne, Substance Abuse Counselor (SAC) Registration #: R1233230616 NPI #: 1447653274 Specialty: Registered Substance Abuse Counselor

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Nicole Chung, Substance Abuse Counselor (SAC) Registration #: Pending NPI #: 1235658980 Specialty: Registered Substance Abuse Counselor

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Anarosa Cisneros, Substance Abuse Counselor (SAC) Registration #: R1336050119 NPI #: 1225507585 Specialty: Registered Substance Abuse Counselor

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Blanche Cosgrove, Substance Abuse Counselor (SAC)

Children & Youth

Adolescent Residential

Yes None Gender responsive,

Adolescents,

Yes

Page 44 of 44

Provider Name and Specialty Population Served

Service Category

Accepting New Medi-Cal Beneficiaries

Non-English Language(s)

Cultural Capabilities

Cultural Competence

Training

Registration #: R1226520416 NPI #: 1457549149 Specialty: Registered Substance Abuse Counselor

*Female Adolescents

SUD Treatment

Criminal Justice

Brianna Gomez, Substance Abuse Counselor (SAC) Registration #: R1260760817 NPI #: 1558891051 Specialty: Registered Substance Abuse Counselor

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Nilda Hashmi, Substance Abuse Counselor (SAC) Registration #: R1221311215 NPI #: 1962879254 Specialty: Registered Substance Abuse Counselor

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes Spanish Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes

Marti Vidovich, Substance Abuse Counselor (SAC) Registration #: R1246350317 NPI #: 1679015275

Specialty: Registered Substance Abuse Counselor

Children & Youth

*Female

Adolescents

Adolescent Residential

SUD Treatment

Yes None Co-occurring disorders, Gender

responsive, Adolescents,

Criminal Justice

Yes