Organization Active NPI

Allied Behavioral Health and Counseling Center

  • Clinical Social Worker
  • Victorville, CA
National Provider Identifier
1184727364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23466 Issued in CA
Legal business name
ALLIED BEHAVIORAL HEALTH AND COUNSELING CENTER
Practice address
16519 Victor St
Suite 406
Victorville, CA 92395-3965
Phone
(760) 403-1414
Fax
(760) 962-0025
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tarron D Riley, L.C.S.W.NPI 1346342896
Title
Directior/Clinical Therapist
Phone
(760) 403-1414

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS 23466 CA Primary

Addresses

Primary practice location

16519 Victor St
Suite 406
Victorville, CA 92395-3965

Mailing address

PO Box 245
Victorville, CA 92393-0245
Phone (760) 403-1414

National Provider Directory

National Provider Directory

Locations

16519 Victor St
Ste 406
Victorville, CA 92395
Phone (760) 843-0506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184727364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923930245",
            "telephone_number": "760-403-1414",
            "fax_number": "760-962-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 VICTOR ST",
            "address_2": "SUITE 406",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953965",
            "telephone_number": "760-403-1414",
            "fax_number": "760-962-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED BEHAVIORAL HEALTH AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "TARRON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTIOR/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "760-403-1414",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.