NPIMap

Organization Active NPI

Raincross Counseling Services, LLC

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1447719513
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RAINCROSS COUNSELING SERVICES, LLC
Practice address
4344 Latham St Ste 110
Riverside, CA 92501-1773
Phone
(951) 779-4917
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Jennifer Allossery
Title
Credentialing
Phone
(213) 375-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

4344 Latham St Ste 110
Riverside, CA 92501-1773

Mailing address

4344 Latham St Ste 110
Riverside, CA 92501-1773
Phone (951) 779-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409001471 CA Part B Supplier - Clinic/Group Practice 4183032238 Receives reassigned benefits from 6 practitioners
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

5063 Cyn CRST Dr Ste 204
Riverside, CA 92507

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1447719513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011773",
            "telephone_number": "951-779-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 LATHAM ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011773",
            "telephone_number": "951-779-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINCROSS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "ALLOSSERY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "213-375-4990"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.