Organization Active NPI

Athena Behavioral Health Group

  • Mental Health Counselor
  • Chino Hills, CA
National Provider Identifier
1336091180
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ATHENA BEHAVIORAL HEALTH GROUP
Practice address
16593 China Berry CT
Chino Hills, CA 91709-6390
Phone
(707) 389-1696
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Jacob Daniel McCollum
Title
Health Consultant
Phone
(707) 389-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16593 China Berry CT
Chino Hills, CA 91709-6390

Mailing address

16593 China Berry CT
Chino Hills, CA 91709-6390
Phone (707) 389-1696

National Provider Directory

National Provider Directory

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": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1336091180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16593 CHINA BERRY CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096390",
            "telephone_number": "707-389-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16593 CHINA BERRY CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096390",
            "telephone_number": "707-389-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA BEHAVIORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "HEALTH CONSULTANT",
        "authorized_official_telephone_number": "707-389-1696"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.