Organization Active NPI

HRC Integrative Mental Health Professional Clinical Counselor PC

Doing business as Wellness Ranch Therapy

  • Mental Health Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1679441380
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HRC INTEGRATIVE MENTAL HEALTH PROFESSIONAL CLINICAL COUNSELOR PC
Doing business as
Wellness Ranch Therapy
Practice address
9721 Brilliant LN
Rancho Cucamonga, CA 91737-2920
Phone
(909) 710-3055
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Angelica Deeann Manzo, LPCCNPI 1316532286
Title
Executive Director
Phone
(909) 519-9575

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

9721 Brilliant LN
Rancho Cucamonga, CA 91737-2920

Mailing address

9721 Brilliant LN
Rancho Cucamonga, CA 91737-2920
Phone (909) 710-3055

Other names 1

  • Wellness Ranch Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1679441380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 BRILLIANT LN",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372920",
            "telephone_number": "909-710-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 BRILLIANT LN",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372920",
            "telephone_number": "909-710-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRC INTEGRATIVE MENTAL HEALTH PROFESSIONAL CLINICAL COUNSELOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MANZO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "DEEANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-519-9575",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Ranch Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.