Organization Active NPI

Citrus Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crestline, CA
National Provider Identifier
1760298699
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CITRUS COUNSELING SERVICES, INC
Practice address
23406 Crest Forest Dr.
Crestline, CA 93225
Phone
(909) 335-4689
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mr. Roger Anthony Uminski II
Title
Ceo
Phone
(909) 793-1078

Specialties & licenses 1

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

Addresses

Primary practice location

23406 Crest Forest Dr.
Crestline, CA 93225

Mailing address

101 E Redlands Blvd Ste 215
Redlands, CA 92373-4724
Phone (909) 793-1078

National Provider Directory

National Provider Directory
Tax ID family
Citrus Counseling Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1760298699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 215",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734724",
            "telephone_number": "909-793-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23406 CREST FOREST DR.",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "93225",
            "telephone_number": "909-335-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "UMINSKI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-793-1078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestline, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.