Great Mind Counseling and Skill Building Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GREAT MIND COUNSELING AND SKILL BUILDING CENTER LLC

Practice address

441 Mackay Dr
San Bernardino, CA 92408-3230

Phone

(702) 589-0701

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Maimouna CantrallNPI 1174996201

Title

Business Owner

Phone

(702) 589-0701

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maimouna Rose Cantrall, LSW

  • Social Worker
  • Las Vegas, NV
  • NPI 1174996201
  NPD (past) Authorized official

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1801604277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MACKAY DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083230",
            "telephone_number": "702-589-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MACKAY DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083230",
            "telephone_number": "702-589-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MIND COUNSELING AND SKILL BUILDING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "CANTRALL",
        "authorized_official_first_name": "MAIMOUNA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "702-589-0701"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Gray
• Candice Grayes
• Adrienne Grayson
• Genesis Grayson
• Great Horizons Hospice, Inc
• Great Mind Family Counseling and Skill Building Center, Inc.
• Green View Hospice Care, Inc.
• Adrienne Denise Green
• Deaundre Green
• Fonda Green

• Multi-Specialty Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Multi-Specialty Clinic/Center in California

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

Verify at the official NPI Registry.