To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

Gateway Call Center is available: Monday - Friday 8:00 a.m. - 5:00 p.m.

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 the SUTS Beneficiary Line at 408.792.5666. If you have trouble speaking or hearing, please call (TTY: 1.800.855.7100 or 711).

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

2 December 21, 2020

LANGUAGE ASSISTANCEEnglishATTENTION:  If you speak another language, language assistance services, free of charge, are available to you. Call 1.800.704.0900 or 408.792.5666 (TTY: 1.800.855.7100 or 711).

Español (Spanish)ATENCIÓN:  Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.800.704.0900 or 408.792.5666 (TTY: 1.800.855.7100 or 711).

Tiếng Việt (Vietnamese)CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1.800.704.090408.792.5666 or (TTY: 1.800.855.7100 or 711).

Tagalog (Tagalog ̶ Filipino)PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1.800.704.0900 or 408.792.5666 (TTY: 1.800.855.7100 or 711).

繁體中文(Chinese)注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電1.800.704.0900 408.792.5666    (TTY: 1.800.855.7100 or 711).

(Farsi) فارسیتوجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیالت زبانی بصورت رایگان برای شما

.تماس بگیرید or 408.792.5666 (TTY: 1.800.855.7100 or 711) فراھم می باشد. 1.800.704.0900

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

3 December 21, 2020

Advent Group Ministries, Inc.

Advent 90 Great Oaks, 90 Great Oaks Blvd. Suite 108, San Jose, 95119-1314 Services: Outpatient, IOS Age: 12-20 Website: https://adventgm.org/#

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

MA, ROBERTO , AMFT Yes 90624 12/31/20 1740689918 English YesSILENCIEUX, DHRU E, AMFT Yes 100894 07/31/21 1508121799 English Yes

Advent Fremont Union HS District, 589 W. Fremont Avenue , Sunnyvale, 94087-2535 Services: Outpatient Age: 12-20 Website: https://adventgm.org/#

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

SILENCIEUX, DHRU E, AMFT Yes 100894 07/31/21 1508121799 English Yes

TEMPLE, CALVIN BATTESE, CADCII Yes A050140818 08/07/22 1861764417 English Yes

Advent/Alta Vista/1325 Bryant Ave, 1325 Bryant Av , Mountain View, 94040 Services: Outpatient Age: 12-20 Website: https://adventgm.org/#

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

SILENCIEUX, DHRU E, AMFT Yes 100894 07/31/21 1508121799 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

4 December 21, 2020

Advent Group Ministries, Inc.

Advent/Crest Site, 535 Alkire St 150 , Morgan Hill, 95037-4145 Services: Outpatient Age: 12-20 Website: https://adventgm.org/#

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

SILENCIEUX, DHRU E, AMFT Yes 100894 07/31/21 1508121799 English Yes

TEMPLE, CALVIN BATTESE, CADCII Yes A050140818 08/07/22 1861764417 English Yes

Advent/Laurel Home, 865 Black Walnut Court , Morgan Hill, 95037 Services: Residential Age: 12-18 Website: https://adventgm.org/#

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

DANG, AMANDA , ASW Yes ASW94515 03/31/21 1083176671 English Yes

Advent/Summit Home, 1200 W Edmunson Avenue , Morgan Hill, 95037 Services: Residential Age: 18+ Website: https://adventgm.org/#

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

DANG, AMANDA , ASW Yes ASW94515 03/31/21 1083176671 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

5 December 21, 2020

Asian Americans for Community Involvement of Santa Clara County, Inc.Asian Americans for Community Involvement of Santa Clara County, Inc., 2400 Moorpark Avenue , San Jose, 95128

Services: Outpatient Age: 18+ Website: https://aaci.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

HATANAKA, YUKIKO , LMFT Yes LMFT112486 03/31/21 1720316490 English Yes

PAPINEAU, STACIE , LPCC Yes 5288 07/31/22 1790227353 English CADC Veterans,

Children Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

6 December 21, 2020

BAARTBAART, 795 Willow Road , Menlo Park, 94025

Services: OTP/NTP Age: 18+ Website: https://baartprograms.com/baart-san-mateo/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BUSTER-BROWN, ORPHEUS GABRIEL, CADCI

Yes CI5620518 05/30/22 1154894699 English Yes

LEPP, NATHANIEL E, MD Yes A149023 05/31/21 1629457452 English ABFM No

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

7 December 21, 2020

Caminar Family and Children Services

Caminar Family and Children Services, 2202 N 1st St , San Jose, 95131-2007 Services: Outpatient Age: 18+ Website: http://www.fcservices.org/substance-abuse-services/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

IGUCHI, JENNIFER LEAH, AMFT Yes AMFT94298 07/31/21 1275981912 English Yes

LINK, ALEXANDRIA ROSE, APCC Yes 4282 09/30/21 1386166072 English Yes

Caminar Family and Children Services, 2218 N. First St. , San Jose, 95131-2007 Services: Outpatient, IOS, PHP Age: 18+ Website: http://www.fcservices.org/substance-abuse-services/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

JOHNSON, ALEXIS CAMILLE, AMFT Yes 110489 11/30/21 1417427048 English Yes

KU, YUN-CHIEN , LMFT Yes 115583 09/30/21 1104373430 English, Mandarin Yes

MARIN, INGRID MARCELA, CADCII Yes A049520518 03/05/22 1245773472 English,

Spanish Yes

MEEK, KATHERINE DAWN, AMFT Yes AMFT

117725 01/31/21 1134651045 English MHRS, RADT Yes

SOWARD, CLAYTON EDWARD, CADCII Yes A015220315 02/18/21 1528338555 English Yes

VEVAINA, ZENA J, LMFT Yes 91332 05/31/21 1700069598 English No

WOODWARD, BRITTANY MARIE, AMFT

Yes 117461 01/31/21 1083275655 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

8 December 21, 2020

Caminar Family and Children Services

Caminar Family and Children Services, 375 Cambridge Ave , Palo Alto, 94306-1613 Services: Outpatient Age: 18+ Website: https://www.caminar.org/resources/2017/1/14/family-children-services-of-silicon-valley

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CUSIMANO, PETER CHARLES, LAADC Yes LR01660815 06/10/22 1124398987 English

Medication Assisted

Treatment(MAT)Veterans Yes

Caminar Family and Children Services, 950 W Julian Street , San Jose, 95126-2719 Services: Outpatient Age: 18+ Website: https://www.caminar.org/resources/2017/1/14/family-children-services-of-silicon-valley

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BYRNE, REBECCA MARIE, AMFT Yes 121327 08/31/21 1104324466 English Yes

GARCIA, ANTONETTE IRENE, CADCII Yes A053800219 02/04/21 1053768200 English Yes

IMMERTREU, JASON ROSS, NP Yes 95009607 05/31/22 1740662642 English Yes

PUTZIG, MARIAN ELIZABETH, AMFT Yes AMFT91612 02/28/21 1457751885 English Veterans Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

9 December 21, 2020

County of Santa Clara

Alexian Health Center, 2101 Alexian Drive Suite 110, San Jose, 95116-1901 Services: Outpatient, IOS Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

DEL REAL, CHRISTINE ANGELICA, LMFT Yes LMFT92782 01/31/22 1861830580 English Transitional

Age Youth Yes

GUTIERREZ, ISAAC ABRAHAM, LCSW Yes 88948 05/31/21 1255600805 English,

Spanish Yes

LOZANO, GUSTAVO , LCSW Yes LCSW96153 08/31/22 1033462064 English,

Spanish Yes

LUNA, JACOB MICHAEL, LMFT Yes LMFT107467 07/31/22 1881973675 English Yes

NGUYEN, ANNIE BAO ANH TRUC, LMFT Yes LMFT89072 03/31/21 1396079018 English,

Vietnamese Yes

SALAZAR, OLGA , AMFT Yes AMFT108594 08/31/21 1225423874 English Yes

SHACKEL, ROY MICHAEL, LCSW Yes LCSW95089 06/30/22 1649778754 English Yes

Alexian Health Clinic, 2101 Alexian Drive Suite A & B, San Jose, 95116-1901 Services: Outpatient, OTP/NTP, MAT Age: 18+ Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BASHIRI, NASRIN , MD Yes A64418 01/31/22 1700974920 English Youth Psychi No

HILL, CHELLSEE , ASW Yes ASW88959 05/31/21 1922641588 English, Spanish Yes

MILLER, MINDY DIANE, CADCII Yes A043221116 05/05/22 1982033080 English Yes

PARKER, MICHAEL , CADS-CAS Yes C28021214 06/30/21 1225481427 English No

RAGHURAMAN, SANGEETHA , MD Yes A78175 06/30/21 1396814356 English No

TRINH, DIANA , ASW Yes ASW 81531 02/28/21 1568800530 English, Vietnamese Yes

WINDETT, LARA , LMFT Yes 43984 05/31/22 1881720993 English CAS/CEDS-S Yes

Apollo High School, 1835 Cunningham Ave , San Jose, 95122-1712 Services: Outpatient Age: 12-20

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

10 December 21, 2020

County of Santa Clara Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

KIM, YOUNGSHIN TERESA, LMFT Yes MFT41757 01/31/21 1790815256 English,

Korean Yes

Behavioral Health Team, 151 W Mission St Wing A Ste A1, San Jose, 95110-1713 Services: Outpatient Age: 18+ Website: https://www.sccgov.org/sites/reentry/resourcecenter/Pages/Resource-Center.aspx

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BALLANTYNE, VIRGINIA ANGELLCA, ASW

Yes ASW67416 07/31/21 1932509064 English Domestic Violence No

BANKS, JERRY PRESTON, CADCII Yes A02100315 03/03/22 1477822906 English Yes

CAMESE, KAREN DELOYCE, LMFT Yes 99165 12/31/22 1932370434 English Yes

HERNANDEZ, JUAN MANUEL, CADCI Yes CI26880219 02/26/21 1114362167 English No

MCALISTER, BRIANA ARIEL, ASW Yes ASW82083 03/31/21 1831745892 English Yes

NGUYEN, ANH-THU , ASW Yes ASW80831 12/31/21 1770141707 English Yes

PALOMO, LAURIE VALERIE, CADCII Yes A012410315 04/10/22 1508261744 English FORENSIC

CRIMINAL J Yes

STURM, KAREN ROSE, LMFT Yes 49605 01/31/22 1497075360 English Yes

Broadway High School , 4825 Speak Lane , San Jose, 95118-3769 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

LUNA, JACOB MICHAEL, LMFT Yes LMFT107467 07/31/22 1881973675 English Yes

Central Treatment and Recovery, 976 Lenzen Avenue First Floor Suite 1900, San Jose, 95126 Services: Outpatient Age: 18+

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

11 December 21, 2020

County of Santa Clara Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CARDOZA, ZENIA PILAR, CADCII Yes A03570315 08/28/22 1639308190 English,

SpanishWOMENS TX SPECIALIST Yes

CELSO, MICHAEL BENEDICT, ASW Yes 87147 12/31/21 1770965881 English Yes

DALY, PAUL MATTHEW, LMFT Yes 48320 12/31/21 1205155363 English Yes

NEWLIN, DENNIS JAMES, LMFT Yes LMFT32034 07/31/22 1093833485 English Yes

NORMAN, WILL EDWARD, CADCII Yes A012000315 09/09/21 1861521767 English Yes

Central Valley Clinic, 2425 Enborg Lane , San Jose, 95128-2648 Services: Outpatient, OTP/NTP, MAT,

PSAPAge: 18+

Website: https://www.sccgov.org/sites/bhd/info/AdultSUTSTreatmentServices/Pages/home.aspx Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BARKER, FRANK WILLIAM, CADCII Yes A02120315 04/11/21 1275959819 English Yes

BASHIRI, NASRIN , MD Yes A64418 01/31/22 1700974920 English Youth Psychi No

CHERUKURI, SUDHAKAR , MD Yes A96644 08/31/22 1497827745 English

American Board of Addiction

Medicine(ABAM)Yes

CORTEZ, RAQUEL , AMFT Yes 99014 03/31/21 1023644176 English No

DO, DAVID ANH QUAN, MD Yes A78639 04/30/22 1801859459 English,

Vietnamese ABIM 2002 Yes

GRINNA, ERICKA ANN, LMFT Yes LMFT41175 03/31/22 1346377462 English Yes

HILL, CHELLSEE , ASW Yes ASW88959 05/31/21 1922641588 English, Spanish Yes

KENNEDY, THERESA ANN REDONDO, LCSW Yes LCSW60436 11/30/21 1073718334 English,

Spanish Yes

LANIP, MARY RAMOS, LMFT Yes LMFT 46280 03/31/22 1558496679 English,

Tagalog N/A Yes

LIPSCHULTZ, MARLA DAWN, LMFT Yes LMFT42672 10/31/21 1740326453 English Yes

MAMROT, ALINA NIA, LCSW Yes 77153 08/31/22 1801173992 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

12 December 21, 2020

County of Santa ClaraPARKER, MICHAEL , CADS-CAS Yes C28021214 06/30/21 1225481427 English No

RAGHURAMAN, SANGEETHA , MD Yes A78175 06/30/21 1396814356 English No

REYES, LOREN GABRIELA, LMFT Yes LMFT114685 07/31/21 1508299215 English,

Spanish Yes

RITTER, SONJA YVONNE, LCSW Yes 87296 12/31/22 1427565035 English Yes

SINGH, SUMA , MD Yes G79389 08/31/21 1982764734 EnglishAmerican Board

of Addiction Medicine(ABAM)

No

STEPHENSON, DEBORAH K, MD Yes G68215 04/30/21 1689767121 English No

VITAL, CARMEN MARIA, CADCII Yes A016540315 01/30/21 1083745061 English,

Spanish Yes

WILLIAM-WHITE, LORRAINE YVETTE, LCSW

Yes LCSW 27977 04/30/21 1033220462 English Yes

WINDETT, LARA , LMFT Yes 43984 05/31/22 1881720993 English CAS/CEDS-S Yes

Christopher High School, 850 Day Road , Gilroy, 95020-6333 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

SHACKEL, ROY MICHAEL, LCSW Yes LCSW95089 06/30/22 1649778754 English Yes

Foothill High School , 230 Pala Avenue , San Jose, 95116-1901 Services: Outpatient Age: 0-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

NGUYEN, ANNIE BAO ANH TRUC, LMFT Yes LMFT89072 03/31/21 1396079018 English,

Vietnamese Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

13 December 21, 2020

County of Santa Clara

Gilroy High School , 750 West 10th St. , Gilroy, 95020-6333 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

DEL REAL, CHRISTINE ANGELICA, LMFT Yes LMFT92782 01/31/22 1861830580 English Transitional

Age Youth Yes

Lincoln HS , 555 Dana Ave , San Jose, 95126-2202 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

GUTIERREZ, ISAAC ABRAHAM, LCSW Yes 88948 05/31/21 1255600805 English,

Spanish Yes

Mt Madonna HS , 8750 Hirasaki Ct , Gilroy, 95020-7531 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

DEL REAL, CHRISTINE ANGELICA, LMFT Yes LMFT92782 01/31/22 1861830580 English Transitional

Age Youth Yes

SALAZAR, OLGA , AMFT Yes AMFT108594 08/31/21 1225423874 English Yes

RRC-CDCR , 151 W Mission St Ste A1, Wing A, San Jose, 95110-1713 Services: Outpatient Age: 18+ Website: https://www.sccgov.org/sites/reentry/resourcecenter/Pages/Resource-Center.aspx

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CAPORALE BUSARI, SUSAN ROSALYN, CADCII

Yes A022000216 11/17/22 1326462565 English Yes

NUZZI, DESIREE DOROTHY, CADCII Yes A012050315 06/08/21 1336427723 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

14 December 21, 2020

County of Santa Clara

South County Clinic, 90 Highland Ave , San Martin, 95046-9504 Services: OTP/NTP, MAT Age: 18+ Website: https://www.sccgov.org/sites/bhd/info/suts-resources-info/Pages/SUTS-Info.aspx

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BASHIRI, NASRIN , MD Yes A64418 01/31/22 1700974920 English Youth Psychi NoCORTEZ, RAQUEL , AMFT Yes 99014 03/31/21 1023644176 English No

DO, DAVID ANH QUAN, MD Yes A78639 04/30/22 1801859459 English,

Vietnamese ABIM 2002 Yes

HILL, CHELLSEE , ASW Yes ASW88959 05/31/21 1922641588 English, Spanish Yes

PARKER, MICHAEL , CADS-CAS Yes C28021214 06/30/21 1225481427 English No

RAGHURAMAN, SANGEETHA , MD Yes A78175 06/30/21 1396814356 English No

RIOS, DAVID EDUARDO, LCSW Yes 18811 04/30/22 1417087370 English,

Spanish Yes

RITTER, SONJA YVONNE, LCSW Yes 87296 12/31/22 1427565035 English Yes

WINDETT, LARA , LMFT Yes 43984 05/31/22 1881720993 English CAS/CEDS-S Yes

Sunnyvale Health Center, 660 S Fair Oaks Ave Rms 3068, 3087, 3081, Sunnyvale, 94086-7913 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

GUTIERREZ, ISAAC ABRAHAM, LCSW Yes 88948 05/31/21 1255600805 English,

Spanish Yes

Sunol Peak/Edge, 258 Sunol Street , San Jose, 95126-4804 Services: Outpatient Age: 12-20 Website: https://www.sccgov.org/sites/bhd/info/CYF/Pages/youth-suts.aspx

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

LOZANO, GUSTAVO , LCSW Yes LCSW96153 08/31/22 1033462064 English,

Spanish Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

15 December 21, 2020

HealthRIGHT 360

AARS Adult, 1340 Tully Road 304, San Jose, 95122-3055 Services: Outpatient Age: 18+ Website: https://www.healthright360.org/agency/asian-american-recovery-services

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CHANG, SHAOCHEN , LPCC Yes LPCC7721 03/31/22 1306397393 English,

Mandarin Yes

DEL REAL, YANELI , CADCI Yes CI21890519 05/23/21 1811364581 English,

Spanish Yes

DIAZ, COURTNEY BOBER, LCSW Yes 27438 10/31/22 1538352497 English Yes

HUYNH, THUY LIEN LILY, ASW Yes ASW92423 10/31/21 1346869922 English,

Vietnamese Yes

LIN, POLLY PO, APCC Yes 5749 10/31/21 1689151128 English YesMAY, LORRAINE , LCSW Yes LCSW96502 08/31/22 1437584521 English Yes

PIEDAD-CRUZ, MICHELLE AGRA, CADCII

Yes A048850118 10/05/21 1306194311 English No

STONE, SAMARA RACHEL, LMFT Yes LMFT51367 05/31/21 1821246505 English Yes

TANJOCO, KARENINA PUNO, CADCI Yes CI28160919 09/17/21 1134644792 English,

Tagalog Population Yes

TSOU, YAO-SZU , LMFT Yes LMFT86019 02/28/23 1942532601 English,

Mandarin LPCC 1699 Mandarin Yes

YU, JIE , LCSW Yes LCSW92152 10/31/21 1508318890 English, Mandarin Yes

AARS Andrew Hill HS, 3200 Senter Road B-3, San Jose, 95111-1399 Services: Outpatient Age: 12-20 Website: https://www.healthright360.org/location/santa-clara-county

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CORPUZ, CHERYL , ASW Yes A044730717 03/20/21 1285960286 English Yes

AARS Independence HS, 1776 Educational Park Drive A-05, San Jose, 95133-1703 Services: Outpatient Age: 12-20 Website: https://www.healthright360.org/agency/asian-american-recovery-services

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

16 December 21, 2020

HealthRIGHT 360 Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

NARANJO, MARTHA , CADCII Yes A011630315 08/24/21 1033405857 English,

Spanish Yes

PIEDAD-CRUZ, MICHELLE AGRA, CADCII

Yes A048850118 10/05/21 1306194311 English No

AARS James Lick HS, 57 N. White Rd. , San Jose, 95127-1933 Services: Outpatient Age: 12-20 Website: https://www.healthright360.org/location/santa-clara-county

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

NARANJO, MARTHA , CADCII Yes A011630315 08/24/21 1033405857 English,

Spanish Yes

PIEDAD-CRUZ, MICHELLE AGRA, CADCII

Yes A048850118 10/05/21 1306194311 English No

AARS Overfelt HS, 1835 Cunningham Ave , San Jose, 95122-1712 Services: Outpatient Age: 12-20 Website: https://www.healthright360.org/location/santa-clara-county

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

NARANJO, MARTHA , CADCII Yes A011630315 08/24/21 1033405857 English,

Spanish Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

17 December 21, 2020

HealthRIGHT 360

AARS The Place, 1340 Tully Road 301, San Jose, 95122-3055 Services: Outpatient Age: 12-20 Website: https://www.healthright360.org/agency/asian-american-recovery-services

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CORPUZ, CHERYL , ASW Yes A044730717 03/20/21 1285960286 English Yes

DIAZ, COURTNEY BOBER, LCSW Yes 27438 10/31/22 1538352497 English Yes

GISSIBLE, LOREN , LCSW Yes LCSW25939 03/21/21 1750459137 English Yes

NARANJO, MARTHA , CADCII Yes A011630315 08/24/21 1033405857 English,

Spanish Yes

PIEDAD-CRUZ, MICHELLE AGRA, CADCII

Yes A048850118 10/05/21 1306194311 English No

TSOU, YAO-SZU , LMFT Yes LMFT86019 02/28/23 1942532601 English,

Mandarin LPCC 1699 Mandarin Yes

AARS Yerba Buena HS, 1855 Lucretia Avenue , San Jose, 95122-3730 Services: Outpatient Age: 12-20 Website: https://www.healthright360.org/program/adult-substance-abuse-treatment-services-asats

Phone Number: 1 (408) 272-6518 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CORPUZ, CHERYL , ASW Yes A044730717 03/20/21 1285960286 English Yes

NARANJO, MARTHA , CADCII Yes A011630315 08/24/21 1033405857 English,

Spanish Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

18 December 21, 2020

Momentum/SUTS

Momentum - 2001 The Alameda, 2001 The Alameda , San Jose, 95126-1136 Services: Outpatient, IOS Age: 18+ Website: https://www.momentumformentalhealth.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

COVOTTA, ERIC CHRISTIAN, AMFT Yes AMFT84432 12/31/20 1285828368 English Yes

MIRAMON-GOMEZ, CHRISTINA MARIE, CADCII

Yes A021391215 10/07/22 1891056255 EnglishWellness

Recovery Action Plan (WRAP®)

Yes

Momentum - 436 N White Rd, 438 N White Rd , San Jose, 95127-1439 Services: Outpatient Age: 18+ Website: https://www.momentumformentalhealth.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

NAJAR, ROSEMARY CADENA, LMFT Yes MFT 21081 12/31/20 1891089314 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

19 December 21, 2020

Parisi House on the Hill, Inc.House on the Hill, (Pregnant Women, Women with Children) , 9505 Malech Road , San Jose, 95138-5246

Services: Residential Age: 18+ Website: http://parisihouse.com/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

ERWIN, PRISCILLA ANN, LAADC Yes LCI0131214 11/08/21 1700226743 English Yes

GEIGER, JEFF M, LAADC Yes LCI03270315 10/15/21 1023537016 English Yes

MORRIS, HEATHER MARIE, CADCII Yes A055660120 01/31/22 1659889384 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

20 December 21, 2020

Pathway Society, Inc.

Pathway Mariposa, 9500 Malech Road , San Jose, 95138-2002 Services: Residential, WM Age: 18+ Website: http://pathwaysociety.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BOURDON, CHEVELLE MARIE, ASW Yes ASW76998 05/30/21 1447507728 English Yes

CANION, LEANDRA PAULINE, CADCII Yes A03530315 11/12/22 1861853111 English Yes

HUMPHRIES, BARBRA , CADCII Yes A042851016 02/28/22 1043669054 English Yes

MANNING, DONNA GAIL, CADCIII Yes B0000140319 04/14/21 1609399088 English Yes

Pathway OP Ctr South County , 16433 Monterey Street Suite 140, Morgan Hill, 95037-7167 Services: Outpatient, IOS Age: 18+ Website: http://pathwaysociety.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

AGUILAR, ADRIANA SOPHIA, APCC Yes 2547 12/31/20 1750707592 English Yes

ANDREW, KENNETH LIESHMAN, CADCII Yes A018110315 02/23/21 1326335118 English Yes

BERNARD, ALEXANDRIA BETH, CADCII

Yes AII054010418 06/22/21 1659708477 English Yes

CHAVARRIA, SABRINA , CADCII Yes A057770720 07/21/22 1538608260 English,

Spanish Yes

SALAS AUGUSTINE, YVETTE , CADCII Yes A014080315 10/09/21 1770952475 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

21 December 21, 2020

Pathway Society, Inc.Pathway OP Santa Clara - 1659 Scott Blvd., 1659 Scott Blvd Ste 9, 220, 270, Santa Clara, 95050-4137

Services: Outpatient, IOS Age: 18+ Website: http://pathwaysociety.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

ANDREW, KENNETH LIESHMAN, CADCII Yes A018110315 02/23/21 1326335118 English Yes

ERWIN, ANTHONY JOSEPH, LAADC Yes LCI0121214 06/24/21 1790055739 English No

INTRAVIA, CATHERINE MARIE, SUDCC-CS Yes SUDCC6319 03/20/22 1952576746 English No

LAI, TAI DAC, CADCII Yes A050821218 12/28/22 1114347887 English, Vietnamese No

Pathway Residential, 102 South 11th Street , San Jose, 95112-2132 Services: Residential, WM Age: 18+ Website: http://pathwaysociety.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

BLAKE, MANDI JO, CADCII Yes AII059380618 03/04/21 1023655933 English Yes

BUSTER-BROWN, ORPHEUS GABRIEL, CADCI

Yes CI5620518 05/30/22 1154894699 English Yes

CANION, LEANDRA PAULINE, CADCII Yes A03530315 11/12/22 1861853111 English Yes

ERWIN, ANTHONY JOSEPH, LAADC Yes LCI0121214 06/24/21 1790055739 English No

LAIQUE, REETA , LMFT Yes LMFT119409 06/30/22 1245680537 English NoMORRIS, HEATHER MARIE, CADCII Yes A055660120 01/31/22 1659889384 English Yes

VALDEZ, AZTECA NA, CAODC Yes 1076 12/30/21 1528355385 English Yes

VEGA, FABIANA , LMFT Yes 119311 06/30/22 1104365709 English Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

22 December 21, 2020

Telecare/SUTS

Telecare -298 Bernal Rd, 298 Bernal Rd , San Jose, 95119-1809 Services: Residential Age: 18+ Website: https://www.telecarecorp.com/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

CRAFT, RENWICK , CADCII Yes A055261019 03/21/21 1588035182 English No

POOLE, SOPHIA ELENA, CADCII Yes A0506110118 04/07/21 1720504434 English,

Spanish Yes

TRIANO, JULIE LETHA, CADCII Yes AII31651019 10/22/21 1447778717 English Yes

YBARRA, MICHAEL CHRISTOPHER, LCSW Yes 65238 03/31/22 1871788661 English No

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

23 December 21, 2020

The Gardner Family Care Corporation

Proyecto Primavera, 614 Tully Road , San Jose, 95111-1048 Services: Outpatient Age: 18+ Website: https://gardnerfamilyhealth.org/

Phone Number: 1 (800) 488-9919 Map & Directions

Provider Name Accepting New License# Expiration

Date NPI Language Special Training Cultural Capabilities

Cultural Training

AGUIRRE, JOAQUIN , LAADC Yes LCI02670315 09/12/21 1164548350 English,

Spanish Yes

DINH, NU IRIS , LCSW Yes LCSW68261 02/28/21 1063729291 English, Vietnamese Yes

HOFFMAN, DAVID , ASW Yes ACSW94354 03/21/21 1225647803 English No

HUFF, TARA LEIGH, ASW Yes 86191 10/31/21 1477083434 English Yes

MORALES, NICOLE HELENA, CADCII Yes A052011020 10/17/21 1780933200 English Yes

RECTOR, BRIAN JOSEPH, LMFT Yes LMFT104737 03/31/21 1770647158 English Transitional

Age Youth Yes

RICE, AMY D, LMFT Yes LMFT100794 02/28/21 1679985253 English YesROMO, ESTEFANIA , ASW Yes 96863 09/30/21 1801372861 English,

Spanish Yes

SHARMA, VIDHI , LMFT Yes 86972 12/31/22 1497896047 English YesVALENCIA-PATINO, DAISY , ASW Yes 77971 07/31/21 1235481144 English,

Spanish Yes

YEOW, CHIN LIAN , LCSW Yes LCSW69466 10/31/21 1215261979

English, Mandarin,

Other_Chinese

Yes

* 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 Plan’s provider directory. ** To access Substance Use Treatment Services please call Gateway Call Center at 1.800.488.9919

24 December 21, 2020