Victor Community Support Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VICTOR COMMUNITY SUPPORT SERVICES

Practice address

600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148

Phone

(310) 621-8278

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Gloria Lorraine AldridgeNPI 1578142634

Title

Clinican

Phone

(562) 322-8881

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gloria Lorraine Aldridge

  • Mental Health Counselor
  • San Bernardino, CA
  • NPI 1578142634

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1235858366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011148",
            "telephone_number": "310-621-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ARROWHEAD AVE STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011148",
            "telephone_number": "310-621-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Arrowhead Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011148",
            "country_code": "US",
            "telephone_number": "310-621-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTOR COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CLINICAN",
        "authorized_official_telephone_number": "562-322-8881"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.
• Veterans Alcohol Rehabilitation Program, Inc.-Varp, Inc.
• Vibra Hospital of San Bernardino, LLC
• Vibrant Behavioral Health a Professional Corporation
• Assunta Maria Vickers, RN, PHN
• Victor Community Support Services, Inc
• Victor Community Support Services, Inc.
• Victor Community Support Services, Inc.
• Victor Treatment Centers, Inc
• Victor Treatment Centers, Inc.

• All providers in San Bernardino, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.