Divina Family Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DIVINA FAMILY COUNSELING SERVICES

Practice address

325 W Hospitality LN Ste 110
San Bernardino, CA 92408-3210

Phone

(909) 375-3816

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Lori Ayala, LPCCNPI 1447720552

Title

Clinical Therapist

Phone

(909) 375-3816

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Lori Ayala

  • Professional Counselor
  • San Bernardino, CA
  • NPI 1447720552

  Mental Health

  NPD Authorized official
• Angelica Diaz

  • Marriage & Family Therapist
  • Woodland Hills, CA
  • NPI 1629819420
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1376255752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083210",
            "telephone_number": "909-375-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083210",
            "telephone_number": "909-375-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINA FAMILY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "909-375-3816",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "layalamft@divinafamilycounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "325 W Hospitality Ln Ste 110",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924083210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reginald Marc Zapanta Dionisio
• Sean Dishaw, RAS
• Jeffrey D Distelberg, MFT
• Denise C. Dittemore, M.D.
• Diversified Biopharma Solutions, Inc
• Divine Truth Unity Fellowship Church, Inc
• Debra L Dixon-Hudak
• Karah Dixon
• Melissa Lynn Dixon
• Nyonneh Angelica Dixon

• Professional Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.