COVENANT COUNSELING (NPI# 1164967527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164967527 |
| Entity Type | Organization |
| Organization Name | COVENANT COUNSELING |
| Practice Address |
15055 Vista Rd Ste 5 Box 567 Helendale CA 92342-7717 |
| Mailing Address |
15055 Vista Rd Ste 5 Box 1292 Helendale CA 92342-7717 |
| Practice Telephone | 7602416044 |
| Mailing Telephone | 7602416044 |
| Mailing Fax Number | 7608202704 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | DR. CLARENCE CARL WILSON (DIRECTOR) |
| Authorized Official Telephone | 7602416044 |
| Authorized Official Credential | DBH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPCC2784 | CA | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 W Hospitality Ln Ste 27, San Bernardino, CA 924083326 | 7602416044 | 7608202704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396888 | Covenant Counseling | Counselor | 5214 Thomason Dr, Midland, TX 79703-6000 | 2012-08-15 |
| 1114235777 | Covenant Counseling | Counselor | 227 E Sunshine St, Suite 103, Springfield, MO 65807-2652 | 2010-09-16 |
| 1134257595 | Covenant Counseling | Counselor | 465 Woodbury Glassboro Rd, Sewell, NJ 08080-4559 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COVENANT COUNSELING | 15055 Vista Road, Helendale, CA 92342-7717 |
| System for Award Management (SAM) Entities | COVENANT COUNSELING CENTER CORPORATION | 230 Wymore Rd. Suite 1003, Altamonte Springs, FL 32714-4287 |
| Indiana Business Entities | COVENANT COUNSELING CENTER INC. | 4321 N Fulton Ave, Evansville, IN 47710 |
| System for Award Management (SAM) Entities | COVENANT COUNSELING CENTER, INC. | 441 Clay St, Kingsport, TN 37660-3693 |
| Virginia Business Entities | Covenant Counseling LLC | 312 W Church St # 903, Wakefield, Virginia 23888-2929 |
| Street Address |
15055 VISTA RD STE 5 BOX 567 |
| City | HELENDALE |
| State | CA |
| Zip Code | 92342-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967063 | Healthy Mind & Braiin Center | Pathology | 27448 Outrigger Lane, Helendale, CA 92342 | 2020-03-13 |
| 1033496245 | Clarence Carl Wilson | Counselor | 15055 Vista Rd. Ste 5, Box 1292, Helendale, CA 92342 | 2011-11-16 |
| 1003126319 | Paul William Klier | Counselor | 1076 Santo Antono, Suite B, Colton, CA 92342 | 2010-10-20 |
| 1588992085 | Yang Han Lee | Acupuncturist | 26369 Catamaran Ln, Helendale, CA 92342 | 2009-11-23 |
| 1528106036 | Cary Frank Schwimmer | Psychologist | 15055 Vista Road #5, Box 567, Helendale, CA 92342 | 2007-02-05 |
| 1750710547 | Comprehensive Holistic Healthcare, LLC | In Home Supportive Care | 26558 Lakeview Dr., Helendale, CA 92342-0641 | 2013-11-02 |
| 1255477428 | Susan Elaine Kimpston | Dietitian, Registered | 14938 Tournament Dr, Helendale, CA 92342-1422 | 2007-01-29 |
| 1669693289 | Jim Rogers | Marriage & Family Therapist | 26734 Jordan Rd., Suite A-4, Helendale, CA 92342-1484 | 2007-05-01 |
| 1851840201 | Nathan Hunt LLC | Pharmacy | 15055 Vista Rd, Ste 6, Helendale, CA 92342-7717 | 2016-09-27 |
| 1083056527 | Thomas Mark La Croix | Specialist/Technologist, Other | 14157 Branding Iron Dr, Helendale, CA 92342-7736 | 2013-07-25 |
| Find all providers in zip 92342 | ||||
| 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 |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.