Organization Active NPI

Victor Valley Family Resource Center

  • Pastoral Counselor
  • Hesperia, CA
National Provider Identifier
1710213467
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
VICTOR VALLEY FAMILY RESOURCE CENTER
Practice address
16000 Yucca St
Hesperia, CA 92345-3517
Phone
(760) 887-1909
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Mrs. Sharon GreenNPI 1891566212
Title
Ceo
Phone
(760) 887-1909

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Case Management Agency 251B00000X CA
Voluntary or Charitable Agency 251V00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

16000 Yucca St
Hesperia, CA 92345-3517

Mailing address

PO Box 1248
Victorville, CA 92393-1248
Phone (760) 887-1909

National Provider Directory

National Provider Directory

Locations

16000 Yucca St
Hesperia, CA 92345
Phone (760) 669-0300

Practitioners & affiliated clinicians

Practitioners 2

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": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1710213467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931248",
            "telephone_number": "760-887-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 YUCCA ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453517",
            "telephone_number": "760-887-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR VALLEY FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-887-1909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.