HOPE AVENUE MARRIAGE AND FAMILY THERAPY INC. (NPI# 1235763574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235763574 |
| Entity Type | Organization |
| Organization Name | HOPE AVENUE MARRIAGE AND FAMILY THERAPY INC. |
| Practice Address |
1400 E Cooley Dr Ste 200a Colton CA 92324-3939 |
| Practice Telephone | 9092955295 |
| Practice Fax Number | 9092955295 |
| Mailing Telephone | 9092955295 |
| Mailing Fax Number | 9092955295 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | ANTHONY SHAWN CARSON (OWNER, CEO) |
| Authorized Official Telephone | 9097085849 |
| Authorized Official Credential | LMFT 111892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1400 E COOLEY DR STE 200A |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225420201 | Anthony Shawn Carson | Counselor | 1400 E Cooley Dr Ste 200a, Colton, CA 92324-3939 | 2015-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295311 | Borrego Community Health Foundation | Community/Behavioral Health | 1880 E Washington St Ste A, Colton, CA 92324-4621 | 2020-08-17 |
| 1457892713 | Yeckley Speech | Community/Behavioral Health | 1170 N 2nd St, Colton, CA 92324-1760 | 2017-03-19 |
| 1194264515 | Amber Nelson-thorneycroft | Community/Behavioral Health | 1800 E Old Ranch Rd Apt 172, Colton, CA 92324-4667 | 2017-02-17 |
| 1184959116 | Andrea Nadine Santana | Community/Behavioral Health | 790 Vita Lata, Suite 300, Colton, CA 92324-5528 | 2009-10-08 |
| 1457489478 | Mental Health Systems, Inc. | Community/Behavioral Health | 1076 Santo Antonio Dr, Suite B & D, Rms. 2, 4, 9, & 12, Colton, CA 92324-8103 | 2007-03-01 |
| 1659710275 | South Coast Children's Society | Community/Behavioral Health | 1461 E Cooley Dr, Suite 100, Colton, CA 92324-3921 | 2013-06-17 |
| 1215204201 | South Coast Children's Society | Community/Behavioral Health | 1461 E Cooley Dr, Suite 100, Colton, CA 92324-3921 | 2011-11-19 |
| 1710216270 | A & D Services | Community/Behavioral Health | 582 W Valley Blvd, 12, Colton, CA 92324-2273 | 2009-12-12 |
| 1124280714 | Central Valley Regional Recovery Center | Community/Behavioral Health | 1076 Santo Antonio Dr, Colton, CA 92324-8103 | 2008-06-26 |
| 1942338744 | Mental Health Systems, Inc. | Community/Behavioral Health | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2007-03-01 |
| Find all providers in COLTON | ||||
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| 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.