Great Mind Family Counseling and Skill Building Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GREAT MIND FAMILY COUNSELING AND SKILL BUILDING CENTER, INC.

Practice address

441 Mackay Dr
San Bernardino, CA 92408-3230

Phone

(909) 279-3711

Fax

(909) 267-6087

NPI assigned

Mar 1, 2025

Last updated

May 8, 2026By 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

Desiree Marie Johnson

Title

Administrator

Phone

(909) 279-3711

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• David Patrick Gennis, PSY.D., LMFT

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1558439935
  Medicare reassignment NPD

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1902603509",
    "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": "909-279-3711",
            "fax_number": "909-267-6087"
        },
        {
            "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": "909-279-3711",
            "fax_number": "909-267-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MIND FAMILY COUNSELING AND SKILL BUILDING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-01",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-279-3711"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Grayes
• Adrienne Grayson
• Genesis Grayson
• Great Horizons Hospice, Inc
• Great Mind Counseling and Skill Building Center LLC
• Green View Hospice Care, Inc.
• Adrienne Denise Green
• Deaundre Green
• Fonda Green
• Gregory Green, D,C,

• Primary Care Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.