Imago Dei Collective Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IMAGO DEI COLLECTIVE INC

Practice address

35210 Avenue a
Yucaipa, CA 92399-4325

Phone

(909) 769-6593

Fax

(909) 253-0199

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Candace Deese, LMFTNPI 1659645984

Title

Ceo/President

Phone

(909) 769-6593

Specialties & licenses 1

Addresses

Tax ID family

Imago Dei Collective Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imago Dei Collective Inc

  • Community/Behavioral Health Agency
  • Yucaipa, CA
  • NPI 1851214761
  NPD tax ID

Practitioners 1

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.

• Candace Lauren Deese, MS

  • Marriage & Family Therapist
  • Yucaipa, CA
  • NPI 1659645984
  Authorized official Same address or phone

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1497678791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35210 AVENUE",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-769-6593",
            "fax_number": "909-253-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35210 AVENUE A",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994325",
            "telephone_number": "909-769-6593",
            "fax_number": "909-253-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGO DEI COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "DEESE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-769-6593",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hunt
• Huston Psychological Services (Rolinda Children Services, New Directions Clinic)
• Ronald George Huston, LCP,LCSW,MFT
• Artharee Edward Hutchins IV
• Michael Mamdouh Aziz Ibrahim
• Imago Dei Collective Inc
• Kimberleigh Marie Ingram, PHARM D
• Inland Empire Lung and Sleep Institute
• Inland Leaders Charter School
• Inland Psychiatric Medical Group, Inc.

• Mental Health Counselor in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.