Active NPI
Iclass Counseling Center, Inc.
- Mental Health Counselor
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renaldo R. Moodie Jr., LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Riverside, CA
- NPI 1740635499
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.