Mind Evolve Center a Licensed Clinical Social Worker Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIND EVOLVE CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

10630 Town Center Dr Ste 105
Rancho Cucamonga, CA 91730-6806

Phone

(626) 714-8672

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Simone A McGee, LMFTNPI 1417610817

Title

President

Phone

(626) 714-8672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Simone McGee, LMFT

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1417610817
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1891587606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DR STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DR STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306806",
            "telephone_number": "626-714-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND EVOLVE CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-714-8672",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akira Kianna Michelle Minard, BCBA
• Melanie Minas
• Mind Bloom Family Therapy, Prof. Corp.
• Mind Body & Soul Family Therapy
• Mind Cabana Family Counseling Inc
• Mindful Revamp, Inc.
• Mindful Solutions Mental Health & Support Services
• Mindset Matters Performance LLC
• Minh N Truong DDS, Inc
• Jessica Miranda

• Community/Behavioral Health Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.