NPIMap

Organization Active NPI

Culture Collective Counseling

  • Mental Health Counselor
  • San Bernardino, CA
National Provider Identifier
1558011866
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CULTURE COLLECTIVE COUNSELING
Practice address
570 W 4TH St Ste 201
San Bernardino, CA 92401-1438
Phone
(909) 727-4558
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Authorized official

Name
Courtney Roushion, LCSWNPI 1568939924
Title
Ceo
Phone
(909) 565-5431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

570 W 4TH St Ste 201
San Bernardino, CA 92401-1438

Mailing address

570 W 4TH St Ste 201
San Bernardino, CA 92401-1438
Phone (909) 565-5431

Other practice location 1

11801 Pierce St Ste 200
Riverside, CA 92505-4400
Phone (909) 727-4558

Other practice location 2

980 W 6th St
Ontario, CA 91762-1210
Phone (909) 727-4558

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@culturecollectivecounseling.com Direct
Direct Messaging Address info@culturecollectivecounseling.com Direct

National Provider Directory

National Provider Directory

Locations

980 W 6th St
Ontario, CA 91762
Phone (909) 727-4558

473 S Carnegie Dr
Ste 265
San Bernardino, CA 92408

570 W 4th St
Ste 201
San Bernardino, CA 92401
Phone (714) 588-3927

Practitioners & affiliated clinicians

Practitioners 6

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": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762041600000",
    "number": "1558011866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W 4TH ST STE 201",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011438",
            "telephone_number": "909-565-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W 4TH ST STE 201",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011438",
            "telephone_number": "909-727-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 Pierce St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925054400",
            "country_code": "US",
            "telephone_number": "909-727-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "980 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917621210",
            "country_code": "US",
            "telephone_number": "909-727-4558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CULTURE COLLECTIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A",
        "authorized_official_last_name": "ROUSHION",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-565-5431",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@culturecollectivecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10855 Church St Apt 205",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917306634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@culturecollectivecounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10855 Church St Apt 205",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917306634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.