NPIMap

Organization Active NPI

Jacob Joseph and Jabez Family Counseling and Professional Services Gro

Doing business as Jacob Joseph and Jabez Family Counseling and Professional Services

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1558880260
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES GRO
Doing business as
Jacob Joseph and Jabez Family Counseling and Professional Services
Practice address
325 W Hospitality LN Ste 110
San Bernardino, CA 92408-3210
Phone
(909) 332-7707
Fax
(951) 823-5507
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. La Cena Lachelle Jones, LMFTNPI 1053601872
Title
Ceo/ Marriage Family Therapist
Phone
(310) 213-0944

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

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

Mailing address

2655 Villa Creek Dr Ste 201
Farmers Branch, TX 75234-7324
Phone (972) 803-6950

Other practice location 1

2655 Villa Creek Dr Ste 201
Farmers Branch, TX 75234-7324
Phone (909) 332-7707

Other names 1

  • Jacob Joseph and Jabez Family Counseling and Professional Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmers Branch2 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.

Locations

6845 Indiana Ave
Ste 201
Riverside, CA 92506

325 W Hospitality Ln
Ste 110
San Bernardino, CA 92408
Phone (909) 332-7707

225 W Hospitality Ln
Ste 201D
San Bernardino, CA 92408
Phone (951) 708-1049

Practitioners & affiliated clinicians

Practitioners 4

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1558880260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 VILLA CREEK DR STE 201",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347324",
            "telephone_number": "972-803-6950",
            "fax_number": "951-823-5507"
        },
        {
            "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": "909-332-7707",
            "fax_number": "951-823-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Villa Creek Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752347324",
            "country_code": "US",
            "telephone_number": "909-332-7707",
            "fax_number": "951-823-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACOB JOSEPH AND JABEZ FAMILY COUNSELING AND PROFESSIONAL SERVICES GRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LA CENA",
        "authorized_official_middle_name": "LACHELLE",
        "authorized_official_title_or_position": "CEO/ MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "310-213-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Joseph and Jabez Family Counseling and Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 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.