MR. CJ CARL JOHN HENOCH (NPI# 1639517188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639517188 |
| Entity Type | Individual |
| Full Name | MR. CJ CARL JOHN HENOCH |
| Practice Address |
600 N Arrowhead Ave Ste 300 San Bernardino CA 92401-1148 |
| Mailing Address |
1246 Country Pl Redlands CA 92374-3958 |
| Practice Telephone | 9095224656 |
| Mailing Telephone | 9517276557 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
86634 | CA | Behavioral Health & Social Service Providers |
| Street Address |
600 N ARROWHEAD AVE STE 300 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780957282 | Victor Community Support Services, Inc. | Clinic/Center | 600 N Arrowhead Ave Ste 300, San Bernardino, CA 92401-1148 | 2012-02-14 |
| 1073092003 | Elizabeth Casas-valdovinos | Counselor | 600 N Arrowhead Ave Ste 300, San Bernardino, CA 92401-1148 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343183 | Phillip Loving | Counselor | 5500 University Pkwy # Ce-120, San Bernardino, CA 92407-2318 | 2019-02-21 |
| 1285108555 | Sl Hobson Enterprises LLC | Counselor | 445 S Arrowhead Ave Ste C, San Bernardino, CA 92408-1335 | 2019-01-19 |
| 1730660069 | Kate E Salami | Counselor | 255 N D St Ste 400, San Bernardino, CA 92401-1715 | 2018-08-24 |
| 1659875904 | Ezekiel Moseley | Counselor | 225 W Hospitality Ln Ste 201d, San Bernardino, CA 92408-3245 | 2018-03-21 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1396262119 | Katherine Ingram | Counselor | 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 | 2017-08-23 |
| 1245760909 | Leslie E Brooks Jr. | Counselor | 325 W. Hospitality Ln. Ste 103, San Bernardino, CA 92408 | 2017-06-15 |
| 1417486788 | Juanita Marisol Barrientos | Counselor | 1908 Business Center Dr., San Bernardino, CA 92408 | 2017-06-08 |
| 1245768480 | Erika Sethi | Counselor | 900 E. Gilbert St, Cottage 4, San Bernardino, CA 92408-3258 | 2017-06-01 |
| 1699210591 | Stacey Ramirez | Counselor | 244 S D St, San Bernardino, CA 92401-2004 | 2016-12-30 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on MR. CJ CARL JOHN HENOCH.
| 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.