Active NPI
Citrus Crest Family Counseling Inc.
- Community/Behavioral Health Agency
- Riverside, CA
National Provider Identifier
1982197547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFC48095
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.