Behavioral Health and Recovery Services 5362 Lemee Lane (209) 966-2000 www.mariposacounty.org MARIPOSA COUNTY HUMAN SERVICES PROVIDER LIST Services Provided: Adult and Children ADA Compliant Facility: Yes LICENSE CA STAFF NAME PROVIDER TYPE LICENSE # NPI # COMPETENCY TRAINED Amy Olson Clinician AMFT 84964 1730535626 Yes Kadi Cruickshanks Clinician APCC 4442 1952800294 Yes Kyle Jenkins Clinician AMFT 94293 1366993123 Yes Pamela Short Clinician ASW 66482 1134268709 Yes Rachel Gren Clinician AMFT 78967 1629339528 Yes Wendy Jaskowiak Clinician AMFT 84204 1639565690 Yes Jonathan Harry Psychiatrist MD 69582 1992852305 Yes Glenn Ikawa Psychiatrist MD 76092 1497965073 Yes Hoyle Leigh Psychiatrist MD 49276 1750490678 Yes Harjot Singh Psychiatrist MD 52153 1013944164 Yes Charlene Martin Nurse LVN 209161 1649779364 Yes Valerie Trujillo Nurse LVN 85917 1518460864 Yes COMMUNITY CONTRACT PROVIDERS Quest Community Counseling Services 5037 Bullion Street (209) 742-5080 www.squest.org Services Provided: Adult Only ADA Compliant Facility: No LICENSE CA STAFF NAME PROVIDER TYPE LICENSE # NPI# COMPETENCY TRAINED David Goger Clinician LCSW 59628 1225467897 No Tomasann Miller Clinician AMFT 78797 1225385180 No
Amy Harper Clinician AMFT 76369 1194006452 No Compass Family Counseling Services 5320 Hwy 49 South (559) 267-3552 www.compassfamilycounseling.net Services Provided: Adult and Children ADA Compliant Facility: Yes STAFF NAME PROVIDER LICENSE TYPE CA LICENSE # NPI # COMPETENCY TRAINED Carol Windsor Clinician LMFT 52237 1104144328 Yes Allison Kay Livermore Clinician AMFT 173749 1194195362 Yes Christian Nicole Record- Jackson Clinician AMFT 105956 1407344518 Yes Jenni Buczko 5078 Bullion Street (209) 268-2286 jenni.buczko@gmail.com Services Provided: Adult Only ADA Compliant Facility: No LICENSE CA STAFF NAME PROVIDER TYPE LICENSE # NPI # COMPETENCY TRAINED Jenni Buczko Clinician LPCC 5159 1063899276 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. Interpreter services are available free of charge in other languages. Updated 8/9/18 de
LANGUAGE ASSISTANCE English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 800-549-6741 (TTY:1-800-549-6741). 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 1-800-549-6741 (TTY: 1-800-549-6741). Español (Spanish) ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 800-549-6741 (TTY:1-800- 549-6741). 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 800-549-6741 (TTY:1-800-549-6741). Tagalog (Tagalog Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-549-6741 (TTY:1-800-549-6741). 한국어 (Korean) 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. 1-800-549-6741 (TTY:1-800-549-6741). 번으로 전화해주십시오.
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 1-800-549-6741 (TTY:1-800-549-6741). Հայերեն (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-800-549-6741 (TTY:1-800-549-6741). Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-549-6741 (TTY:1-800-549-6741). توجه: اگر به زبان فارسی گفتگو می کنید تسهیالت زبانی بصورت رایگان برای شما فراهم می باشد. با 1441-945-088-1.)TTY:1-800-549-6741( تماس بگیرید. (Farsi) ف ار سی 日本語 (Japanese) 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます 1-800-549-6741 (TTY:1-800-549-6741). まで お電話にてご連絡ください Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. 6741). Hu rau 800-549-6741 (TTY:1-800-549- ਪ ਜ ਬ (Punjabi) ਧ ਆਨ ਧ ਓ: ਜ ਤ ਸ ਪ ਜ ਬ ਬ ਲ ਹ, ਤ ਭ ਸ਼ ਧ ਚ ਸਹ ਇਤ ਸ ਤ ਹ ਡ ਲਈ ਮ ਫਤ ਉਪਲਬ ਹ 1-800-549-6741 (TTY:1-800-549-6741). 'ਤ ਕ ਲ ਕਰ
ملحوظة: إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. (Arabic) ال عرب ية اتصل برقم- 1441-945-088-1 )رقم هاتف الصم والبكم: 1441-945-088-1 ह द (Hindi) ध य न द : यदद आप द द ब लत त आपक दलए म फ त म भ ष स यत स व ए उपलब ध 1-800-549-6741 (TTY:1-800-549-6741) पर क ल कर ภาษาไทย (Thai) เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร 1-800-549-6741 (TTY:1-800-549-6741) ខ ម រ (Cambodian) ប រយ ត ន ររ ស នជ អ នកន យ យ ភ ស ខ ម, រ វ ជ ន យមននកភ ស ស យម នគ ត លន គ អ ចម ន ររ អ ស នក ច ទ ព ទ 1-800-549-6741 (TTY:1-800-549-6741) ພາສາລາວ (Lao) ໂປດຊາບ: ຖ າວ າ ທ ານເວ າພາສາ ລາວ, ການບ ລການຊ ວຍເຫອດ ານພາສາ, ໂດຍບ ເສ ຽຄ າ, ແມ ນມພ ອມໃຫ ທ ານ. ໂທຣ 1-800-549-6741 (TTY:1-800-549-6741)