CASEY ANNE GIDCUMB
NPI 1780296764
Counselor - Mental Health in San Bernardino, CA

Active since August 20, 2020
290 N D ST STE 700, SAN BERNARDINO, CA 92401(909) 963-5355 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Aug 20, 2020 (2 updates tracked since 2020).

About Casey Anne Gidcumb NPPES

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

CASEY ANNE GIDCUMB (NPI 1780296764) is an individual mental health provider in San Bernardino, California, licensed in California (16474) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1780296764
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASEY ANNE GIDCUMB
Location Address290 N D ST STE 700San Bernardino, CA 92401-1705
Mailing Address290 N D St Ste 700San Bernardino, CA 92401-1705 · (909) 963-5355
Sole ProprietorYes
Enumeration DateAugust 20, 2020
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1780296764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 16474
Also ListedBehavior TechnicianTaxonomy 106S00000X
290 N D ST STE 700, San Bernardino, CA 92401

Other Providers at the Same Location NPPES 20

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

Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Day Training/Habilitation Specialist
290 N D ST STE 700
SAN BERNARDINO, CA 92401
Student in an Organized Health Care Education/Training Program
290 N D ST STE 700
SAN BERNARDINO, CA 92401

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 Casey Gidcumb's NPI number?

The NPI number for Casey Gidcumb is 1780296764. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Casey Gidcumb located?

Casey Gidcumb practices at 290 N D St Ste 700, San Bernardino, CA 92401. The listed phone number is (909) 963-5355.

What is Casey Gidcumb'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 Casey Gidcumb was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.