Active NPI
Cornerstone Counseling
- Marriage & Family Therapist
- Fontana, CA
National Provider Identifier
1003210899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC38902
- Legal business name
- CORNERSTONE COUNSELING
- Practice address
- 15292 Duncan Canyon Rd
Fontana, CA 92336-1210 - Phone
- (909) 543-4959
- Fax
- (909) 899-9937
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Moira M Conley-Jackson, M.F.T.
- Title
- Owner
- Phone
- (909) 559-8148
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC38902 | CA | Primary |
Addresses
Primary practice location
15292 Duncan Canyon Rd
Fontana, CA 92336-1210
Mailing address
7147 Riva PL
Rancho Cucamonga, CA 91701-8725
Phone (909) 543-4959
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Mandeville, LA
- NPI 1063636314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1003210899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7147 RIVA PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917018725",
"telephone_number": "909-543-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15292 DUNCAN CANYON RD",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361210",
"telephone_number": "909-543-4959",
"fax_number": "909-899-9937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "CONLEY-JACKSON",
"authorized_official_first_name": "MOIRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-559-8148",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.F.T."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC38902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.