Organization Active NPI

Citrus Crest Family Counseling Inc.

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1982197547
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC48095 Issued in CA
Legal business name
CITRUS CREST FAMILY COUNSELING INC.
Practice address
16801 Van Buren Blvd Ste 214
Riverside, CA 92504-5893
Phone
(951) 565-0946
Fax
(951) 398-7438
NPI assigned
Jun 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Dr. Charles A Hille, PSYD, LMFT
Title
President
Phone
(951) 565-0946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC48095 CA Primary

Addresses

Primary practice location

16801 Van Buren Blvd Ste 214
Riverside, CA 92504-5893

Mailing address

16842 Stallion PL
Riverside, CA 92504-5845
Phone (951) 565-0946

Other practice location 1

1128 E 6th St Ste 8
Corona, CA 92879-5704
Phone (951) 565-0946

National Provider Directory

National Provider Directory

Locations

1128 E 6th St
Ste 8
Corona, CA 92879
Phone (951) 288-9086

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1982197547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16842 STALLION PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045845",
            "telephone_number": "951-565-0946",
            "fax_number": "951-398-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 VAN BUREN BLVD STE 214",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045893",
            "telephone_number": "951-565-0946",
            "fax_number": "951-398-7438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 E 6th St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928795704",
            "country_code": "US",
            "telephone_number": "951-565-0946",
            "fax_number": "951-398-7438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITRUS CREST FAMILY COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "HILLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-565-0946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC48095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.