Organization Active NPI

Pearls of Wisdom Graceful Healing, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Riverside, CA
National Provider Identifier
1457268427
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PEARLS OF WISDOM GRACEFUL HEALING, LLC
Practice address
2845 Monroe St
Riverside, CA 92504-4271
Phone
(951) 565-9921
Fax
(951) 565-9921
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Mrs. Jenell Ross, SUDCC IV
Title
Managing Member
Phone
(951) 565-9921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2845 Monroe St
Riverside, CA 92504-4271

Mailing address

2845 Monroe St
Riverside, CA 92504-4271
Phone (951) 565-9921

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1457268427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 MONROE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044271",
            "telephone_number": "951-565-9921",
            "fax_number": "951-565-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 MONROE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044271",
            "telephone_number": "951-565-9921",
            "fax_number": "951-565-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS OF WISDOM GRACEFUL HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "951-565-9921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SUDCC IV"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.