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MR. IAN TERRY CROCKER
NPI 1215217633
Counselor - Mental Health in Mentone, CA

Active since August 17, 2011
9355 OPAL AVE, MENTONE, CA 92359(909) 705-5998(909) 389-9431 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Ian Terry Crocker NPPES

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

MR. IAN TERRY CROCKER (NPI 1215217633) is an individual mental health provider in Mentone, California and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1215217633
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. IAN TERRY CROCKER
Location Address9355 OPAL AVEMentone, CA 92359-9605
Mailing Address9355 Opal AveMentone, CA 92359-9605 · (909) 705-5998 · Fax (909) 389-9431
Phone(909) 705-5998
Fax(909) 389-9431
Sole ProprietorNo
Enumeration DateAugust 17, 2011
✔ NPI 1215217633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9355 OPAL AVE, Mentone, CA 92359
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY SANDERS
Counselor (School)
9355 OPAL AVE
MENTONE, CA 92359
San Bernardino County (909) 705-5998
VALLEY STAR BEHAVIORAL HEALTH, INC.
Community/Behavioral Health
9355 OPAL AVE
MENTONE, CA 92359
San Bernardino County (510) 635-9705

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 Ian Crocker's NPI number?

The NPI number for Ian Crocker is 1215217633. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Ian Crocker located?

Ian Crocker practices at 9355 Opal Ave, Mentone, CA 92359. The listed phone number is (909) 705-5998.

What is Ian Crocker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ian Crocker was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.