Organization Active NPI

Healing Hearts Counseling Center, Inc.

  • Marriage & Family Therapist
  • Rialto, CA
National Provider Identifier
1679916787
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC28241 Issued in CA
Legal business name
HEALING HEARTS COUNSELING CENTER, INC.
Practice address
229 S Riverside Ave
Suite M
Rialto, CA 92376-6467
Phone
(909) 873-8363
Fax
(909) 873-5039
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Annette Allen Jenkins, LMFTNPI 1073647053
Title
Clinical Director
Phone
(909) 873-8363

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC28241 CA Primary

Addresses

Primary practice location

229 S Riverside Ave
Suite M
Rialto, CA 92376-6467

Mailing address

PO Box 2918
Big Bear Lake, CA 92315-2918
Phone (909) 873-8363

National Provider Directory

National Provider Directory

Locations

229 S Riverside Ave
Ste M
Rialto, CA 92376
Phone (909) 873-8363

Practitioners & affiliated clinicians

Practitioners 1

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": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1679916787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2918",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152918",
            "telephone_number": "909-873-8363",
            "fax_number": "909-873-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S RIVERSIDE AVE",
            "address_2": "SUITE M",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766467",
            "telephone_number": "909-873-8363",
            "fax_number": "909-873-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEARTS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-873-8363",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.