Organization Active NPI

Ethos Shoreline Counseling a Marriage and Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • Fontana, CA
National Provider Identifier
1154234789
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ETHOS SHORELINE COUNSELING A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
8386 Nuevo Ave Unit 4
Fontana, CA 92335-3565
Phone
(909) 279-3608
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joe Mac M Pollock Jr., LMFT
Title
Ceo
Phone
(909) 279-3608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

8386 Nuevo Ave Unit 4
Fontana, CA 92335-3565

Mailing address

16049 Baseline Ave Unit 1
Fontana, CA 92336-1830
Phone (909) 279-3608

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1154234789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 BASELINE AVE UNIT 1",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361830",
            "telephone_number": "909-279-3608",
            "fax_number": "909-279-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8386 NUEVO AVE UNIT 4",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353565",
            "telephone_number": "909-279-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS SHORELINE COUNSELING A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "M POLLOCK",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "MAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-279-3608",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.