2nd Chance Rediscovery
NPI 1629704184ActiveOrganization· Community/Behavioral Health· Bishop, CA
Community/Behavioral Health in Bishop, California, registered in NPPES in July 2022, part of Sinfulxvanity Art and Design LLC. The authorized official on file is Kaitlin Elizabeth Crom, Executive Director.
Overview
| NPI | 1629704184 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sinfulxvanity Art and Design LLC |
| NPI issued | Jul 27, 2022 |
| Last updated in NPPES | Jul 27, 2022 |
| Certified by provider | Apr 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | — | — |
| Counselor, Pastoral | 101YP1600X | — | — |
| Specialist, Graphics Designer | 1744G0900X | — | — |
| Case Management | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Community/Behavioral Health providers in Bishop
- 1316352917
- 1770335952