COVENANT COUNSELING
NPI 1164967527
Community/Behavioral Health in Colton, CA

Active since December 21, 2016
851 S MOUNT VERNON AVE STE 7A, COLTON, CA 92324(760) 241-6044 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2021, Feb 8, 2019, Mar 6, 2018 and 1 more (4 updates tracked since 2016).

About Covenant Counseling NPPES

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

COVENANT COUNSELING (NPI 1164967527) is a healthcare organization registered as a community/behavioral health in Colton, California and active in the NPI registry since December 2016. The organization maintains a secondary practice location in San Bernardino and lists Clarence Carl Wilson, Director, as its authorized official.

NPPES Registry Identity

NPI1164967527
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOVENANT COUNSELING
Location Address851 S MOUNT VERNON AVE STE 7AColton, CA 92324-3926
Mailing Address851 S Mount Vernon Ave Ste 7aColton, CA 92324-3926 · (760) 241-6044 · Fax (760) 820-2704
Organization SubpartNo
Authorized OfficialClarence Carl WilsonDirector · (760) 241-6044
Enumeration DateDecember 21, 2016
Last NPPES UpdateMay 18, 20214 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1164967527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · LPCC2784
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
851 S MOUNT VERNON AVE STE 7A, Colton, CA 92324

Secondary Practice Location 1

Location 1165 W Hospitality Ln Ste 27San Bernardino, CA 92408-3326 · Phone (760) 241-6044 · Fax (760) 820-2704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Covenant Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Covenant Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1033496245
851 S MOUNT VERNON AVE STE 7A
Colton, CA 92324
(760) 241-6044
✔ PECOSSame address
Clinical Psychologist
NPI 1376287334
11354 MOUNTAIN VIEW AVE STE A
Loma Linda, CA 92354
(909) 665-4654
✔ PECOS✔ Accepts Medicare3.8 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 Covenant Counseling's NPI number?

The NPI number for Covenant Counseling is 1164967527. It was assigned to this organization in the NPPES registry on December 21, 2016.

Where is Covenant Counseling located?

Covenant Counseling is located at 851 S Mount Vernon Ave Ste 7A, Colton, CA 92324. The listed phone number is (760) 241-6044.

What is Covenant Counseling's specialty?

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

Is Covenant Counseling enrolled in Medicare?

Yes. Covenant Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Covenant Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Covenant Counseling, in Clinical Psychologist and Mental Health Counselor. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Covenant Counseling was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.