VISTA GUIDANCE CENTERS, IN.C (NPI# 1124158498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124158498 |
| Entity Type | Organization |
| Organization Name | VISTA GUIDANCE CENTERS, IN.C |
| Other Organization Name | REDLANDS YUCAIPA GUIDANCE CENTERS |
| Practice Address |
939 N D St San Bernardino CA 92418-0001 |
| Mailing Address |
Po Box 7369 Redlands CA 92375-0369 |
| Practice Telephone | 9093815100 |
| Practice Fax Number | 9093815101 |
| Mailing Telephone | 9093357067 |
| Mailing Fax Number | 9097922045 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SONIA JENNY BORJA (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 9093357067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
360023DN | CA | Behavioral Health & Social Service Providers |
| X | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3694 | 05 |
| Other Name | Type Code |
|---|---|
| REDLANDS YUCAIPA GUIDANCE CENTERS | Former Legal Business Name - Organization |
| Street Address |
939 N D ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92418-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647346 | Ronald Wayne Jackson | Prevention Professional | 939 N D St, San Bernardino, CA 92410-3519 | 2020-01-02 |
| 1568972974 | Janice Trina Macias | Counselor | 939 N D St, San Bernardino, CA 92410-3519 | 2017-10-11 |
| 1336697960 | Alexandra Latorre | Counselor | 939 N D St, San Bernardino, CA 92410-3519 | 2016-09-12 |
| 1407268840 | Kim Mclaughlin | Counselor | 939 N D St, San Bernardino, CA 92410-3519 | 2014-05-20 |
| 1073744660 | Inland Valley Drug and Alcohol Recovery Services | Clinic/Center | 939 N D St, San Bernardino, CA 92410-3519 | 2009-07-31 |
| 1730359019 | Nancy Lee Freeman | Substance Abuse Rehabilitation Facility | 939 N D St, San Bernardino, CA 92410-3519 | 2008-03-03 |
| 1598960874 | Vista Recovery Center | Counselor | 939 N D St, San Bernardino, CA 92418-0001 | 2007-06-18 |
| 1396947156 | Donna M Boyd | Counselor | 939 N D St, San Bernardino, CA 92418-0001 | 2007-06-04 |
| 1124238498 | Gloria Palmer | Counselor | 939 N D St, San Bernardino, CA 92418-0001 | 2007-05-23 |
| 1962612267 | Karen Webber | Counselor | 939 N D St, San Bernardino, CA 92418-0001 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760631535 | Concepcion E Chavez | Counselor | 393 N D St, San Bernardino, CA 92418-0001 | 2008-09-16 |
| 1700096815 | Christine H Trujillo | Counselor | 939 955 N D St, San Bernardino, CA 92418-0001 | 2007-05-23 |
| 1376753525 | Jacqueline Murphy | Counselor | 939 and 955 N D St, San Bernardino, CA 92418-0001 | 2007-05-23 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547229 | Frank R Rivera | Counselor | 658 E Brier Dr Ste 350, San Bernardino, CA 92408-2875 | 2020-08-04 |
| 1528604501 | Rise Recovery | Counselor | 395 W 17th St, San Bernardino, CA 92405-4409 | 2019-11-25 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1134644115 | Jorge Vasquez | Counselor | 222 W Hospitality Ln, San Bernardino, CA 92415-3536 | 2017-08-10 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1477073377 | Mack William Tolle | Counselor | 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 | 2017-06-21 |
| 1093247215 | Traci Stockham | Counselor | 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 | 2017-03-28 |
| 1760938534 | Michael Anthony Davis I | Counselor | 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 | 2016-08-31 |
| 1770944704 | Cheryl Fox | Counselor | 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 | 2016-03-18 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92418 |
Please comment or provide details below to improve the information on VISTA GUIDANCE CENTERS, IN.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.