MAINLINE FAMILY COUNSELING SERVICE PROF CORP
NPI 1124697164
Community/Behavioral Health in Chino, CA

Q: What is Mainline Family Counseling Service Prof Corp's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 23, 2021

14726 RAMONA AVE # E10, CHINO, CA 91710(909) 334-2824 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2024, Jun 23, 2021 (2 updates tracked since 2021).

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About Mainline Family Counseling Service Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINLINE FAMILY COUNSELING SERVICE PROF CORP (NPI 1124697164) is a healthcare organization registered as a community/behavioral health in Chino, California and active in the NPI registry since June 2021. The organization maintains a secondary practice location in San Bernardino and lists Peter Lo, Owner, as its authorized official.

NPPES Registry Identity

NPI1124697164

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMAINLINE FAMILY COUNSELING SERVICE PROF CORP

Location Address14726 RAMONA AVE # E10Chino, CA 91710-5730

Mailing Address14726 Ramona Ave # E10Chino, CA 91710-5730

Phone(909) 334-2824

Organization SubpartNo

Authorized OfficialPeter LoOwner · (909) 334-2824

Enumeration DateJune 23, 2021

Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1124697164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

14726 RAMONA AVE # E10, Chino, CA 91710

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Secondary Practice Location 1

Location 11585 S D St Ste 202San Bernardino, CA 92408-3235 · Phone (909) 334-2824

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mainline Family Counseling Service Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mainline Family Counseling Service Prof Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jasmine Roberts, LCSW

Clinical Social Worker

NPI 1164292744

14726 RAMONA AVE
Chino, CA 91710

(909) 685-5753

✔ PECOSSame address

Peter Lo

Marriage and Family Therapist

NPI 1285047282

4000 ORANGE ST
Riverside, CA 92501

(951) 955-4000

✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainline Family Counseling Service Prof Corp's NPI number?

The NPI number for Mainline Family Counseling Service Prof Corp is 1124697164. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Mainline Family Counseling Service Prof Corp located?

Mainline Family Counseling Service Prof Corp is located at 14726 Ramona Ave # E10, Chino, CA 91710. The listed phone number is (909) 334-2824.

What is Mainline Family Counseling Service Prof Corp's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mainline Family Counseling Service Prof Corp enrolled in Medicare?

Yes. Mainline Family Counseling Service Prof Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mainline Family Counseling Service Prof Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mainline Family Counseling Service Prof Corp, in Clinical Social Worker and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mainline Family Counseling Service Prof Corp was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.