Active NPI
Gladys Cecelia Guevara, CATC III
- Student in an Organized Health Care Education/Training Program
- Bloomington, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 18612 Santa Ana Ave
Bloomington, CA 92316-2636 - Phone
- (909) 546-8099
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1490871122 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14699 | CA | |
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
18612 Santa Ana Ave
Bloomington, CA 92316-2636
Mailing address
1302 Rialto Ave
Colton, CA 92324-2433
Phone (909) 835-7482
Other practice location 1
688 N Arrowhead Ave
San Bernardino, CA 92401-1171
Phone (909) 559-4709
Other practice location 2
612 S Myrtle Ave Ste 100
Monrovia, CA 91016-3406
Phone (626) 775-7888
Other practice location 3
2275 E Cooley Dr
Colton, CA 92324-6324
Phone (909) 543-0790 ext. 109
Other practice location 4
930 S Mount Vernon Ave Ste 90
Colton, CA 92324-3928
Phone (909) 660-0097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00051147 | Other | CA | CPT 1 |
| 14699-I | Other | CA | REGISTERED ADDICTION COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1490871122 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masssvcs LLC | Behavior Technician | Current | Accepting new patients |
Locations
930 S Mount Vernon Ave
Ste 90
Colton, CA 92324
Phone (909) 252-7520
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1730655176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 RIALTO AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923242433",
"telephone_number": "909-835-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18612 SANTA ANA AVE",
"city": "BLOOMINGTON",
"state": "CA",
"postal_code": "923162636",
"telephone_number": "909-546-8099"
}
],
"practiceLocations": [
{
"address_1": "688 N Arrowhead Ave",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924011171",
"country_code": "US",
"telephone_number": "909-559-4709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "612 S Myrtle Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Monrovia",
"state": "CA",
"postal_code": "910163406",
"country_code": "US",
"telephone_number": "626-775-7888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2275 E Cooley Dr",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "923246324",
"country_code": "US",
"telephone_number": "909-543-0790 x109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "930 S Mount Vernon Ave Ste 90",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "923243928",
"country_code": "US",
"telephone_number": "909-660-0097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEVARA",
"first_name": "GLADYS",
"middle_name": "CECELIA",
"credential": "CATC III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1490871122",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "14699",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPT 1",
"identifier": "00051147",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED ADDICTION COUNSELOR",
"identifier": "14699-I",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.