Terra Vista Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TERRA VISTA COUNSELING

Practice address

12139 Mount Vernon Ave Ste 104
Grand Terrace, CA 92313-5500

Phone

(909) 452-5857

NPI assigned

Jan 4, 2021

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Takenya Clarke

Title

Owner

Phone

(909) 454-3074

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Takenya Chimene Clark-Jefferies, LCSW

  • Social Worker
  • Grand Terrace, CA
  • NPI 1205087657
  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1891383188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 MOUNT VERNON AVE STE 104",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135500",
            "telephone_number": "909-452-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 MOUNT VERNON AVE STE 104",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135500",
            "telephone_number": "909-452-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA VISTA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-05-16",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "TAKENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-454-3074"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tana Gen Szoyka
• Jessica Talbot, FNP
• Moira Hope Taylor-Mora
• Jacquelin Janet Tejeda, RN
• Stephen Teng, PT
• Godlove Rebecca Tettey Mensah
• The Heart Matters Foster Family Agency
• The Heart Matters Foster Family Agency
• Thespacebetweencounselingserviceslicensedclinicalsocialworkerinc
• Regina Myra Tran

• Community/Behavioral Health Agency in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.