Gustavia Givens Jr.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

141 N Arrowhead Ave
San Bernardino, CA 92408-1016

Phone

(909) 963-5355

NPI assigned

Sep 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801266309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MACKAY DR",
            "address_2": "SUITE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083222",
            "telephone_number": "909-433-9300",
            "fax_number": "909-433-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081016",
            "telephone_number": "909-963-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "GUSTAVIA",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Magdy Girgis, M.S.
• Brenda Ruby Giron, M.S.
• Kiarra Gist
• Marcus Daerious Gitchuway
• Horatius Gittens, MFTI
• Joni Renee Glackin, LCSW
• Rosemary Glaven
• Evangeline Riley Glazier
• Glucosamigos PC
• Philip Glukhovsky, D.C.

• Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.