Organization Active NPI

Iclass Counseling Center, Inc.

  • Mental Health Counselor
  • Rialto, CA
National Provider Identifier
1972315257
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ICLASS COUNSELING CENTER, INC.
Practice address
1850 N Riverside Ave Ste 110
Rialto, CA 92376-8071
Phone
(213) 878-1718
Fax
(213) 521-2030
NPI assigned
Jan 23, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Renaldo R. Moodie Jr., LMFTNPI 1740635499
Title
Clinical Director
Phone
(909) 379-4406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1850 N Riverside Ave Ste 110
Rialto, CA 92376-8071

Mailing address

3380 Lasierra Ave 104-730
Riverside, CA 92503
Phone (213) 878-1718

National Provider Directory

National Provider Directory

Locations

1850 N Riverside Ave
Ste 110
Rialto, CA 92376
Phone (909) 421-3001

1859 N Riverside Ave Ste 110
Rialto, CA 92503

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1972315257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LASIERRA AVE 104-730",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "213-878-1718",
            "fax_number": "213-521-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 110",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "213-878-1718",
            "fax_number": "213-521-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICLASS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "MOODIE",
        "authorized_official_first_name": "RENALDO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-379-4406",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.