Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc
NPI 1407546989 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mckinleyville, CA
Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Mckinleyville, CA (NPI 1407546989).
Provider details
- NPI number
- 1407546989
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bo Hamer, Ceo - Clinical Director(503) 440-5924
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-09
- Last updated
- 2023-05-10
- Certified
- 2023-05-10
Frequently asked questions
- What is Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's NPI number?
- Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's National Provider Identifier (NPI) is 1407546989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc?
- Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc located?
- Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's practice location on file with NPPES is 1776 Market Ave, Mckinleyville, CA 95519-4209.
- What is Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's phone number?
- The practice phone number listed in the NPPES registry for Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc is (503) 440-5924.
- Who is the authorized official for Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc?
- The authorized official listed on Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's NPPES record is Bo Hamer, Ceo - Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's NPI active?
- Yes — Agate Moon Ecotherapy Collective, Licensed Clinical Social Worker, Inc's NPI (1407546989) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.