Active NPI
Healing Logos Christian Family Counseling, Inc.
- Community/Behavioral Health Agency
- Rancho Cucamonga, CA
National Provider Identifier
1699301978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HEALING LOGOS CHRISTIAN FAMILY COUNSELING, INC.
- Practice address
- 9567 Arrow Rte Ste P
Rancho Cucamonga, CA 91730-4550 - Phone
- (909) 726-5042
- Fax
- (909) 752-5433
- NPI assigned
- Mar 18, 2020
- Organization subpart
- Yes
- Parent organization
- HEALING LOGOS CHRISTIAN COUNSELING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria D Haywood, MA
- Title
- LMFT
- Phone
- (909) 726-5042
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9567 Arrow Rte Ste P
Rancho Cucamonga, CA 91730-4550
Mailing address
9567 Arrow Rte Ste P
Rancho Cucamonga, CA 91730-4550
Phone (909) 726-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215430723 | Medicaid | CA |
Other names 1
- Healing Logos Christian Counseling
National Provider Directory
National Provider DirectoryLocations
9567 Arrow Rte
Ste P
Rancho Cucamonga, CA 91730
Phone (909) 726-5042
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1215430723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584489600000",
"number": "1699301978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9567 ARROW RTE STE P",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304550",
"telephone_number": "909-726-5042",
"fax_number": "909-752-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9567 ARROW RTE STE P",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304550",
"telephone_number": "909-726-5042",
"fax_number": "909-752-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING LOGOS CHRISTIAN FAMILY COUNSELING, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALING LOGOS CHRISTIAN COUNSELING",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A",
"authorized_official_last_name": "HAYWOOD",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "LMFT",
"authorized_official_telephone_number": "909-726-5042",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215430723",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Healing Logos Christian Counseling",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.