Organization Active NPI

Complete Counseling Services, Inc

  • Community/Behavioral Health Agency
  • Claremont, CA
National Provider Identifier
1649594409
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
25965 Issued in CA
Legal business name
COMPLETE COUNSELING SERVICES, INC
Practice address
250 W 1St St Ste 242
Claremont, CA 91711-4742
Phone
(909) 234-8880
Fax
(909) 482-2211
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Ms. Dragana Gajic, LCSW
Title
Ceo Owner
Phone
(909) 234-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 25965 CA Primary

Addresses

Primary practice location

250 W 1St St Ste 242
Claremont, CA 91711-4742

Mailing address

14954 Westfork LN
Fontana, CA 92336-0746
Phone (909) 234-8880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1649594409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14954 WESTFORK LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360746",
            "telephone_number": "909-234-8880",
            "fax_number": "909-482-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 242",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114742",
            "telephone_number": "909-234-8880",
            "fax_number": "909-482-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "GAJIC",
        "authorized_official_first_name": "DRAGANA",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "909-234-8880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "25965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.