MIND EVOLVE CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION
NPI 1891587606
Community/Behavioral Health in Rancho Cucamonga, CA

Q: What is Mind Evolve Center A Licensed Clinical Social Worker Corporation's specialty?

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

Active since May 19, 2025

10630 TOWN CENTER DR STE 105, RANCHO CUCAMONGA, CA 91730(626) 714-8672 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2025, May 19, 2025 (2 updates tracked since 2025).

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About Mind Evolve Center A Licensed Clinical Social Worker Corporation NPPES

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

MIND EVOLVE CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION (NPI 1891587606) is a healthcare organization registered as a community/behavioral health in Rancho Cucamonga, California and active in the NPI registry since May 2025. The organization lists Simone A Mcgee, President, as its authorized official.

NPPES Registry Identity

NPI1891587606

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMIND EVOLVE CENTER A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Location Address10630 TOWN CENTER DR STE 105Rancho Cucamonga, CA 91730-6806

Mailing Address10630 Town Center Dr Ste 105Rancho Cucamonga, CA 91730-6806

Phone(626) 714-8672

Organization SubpartNo

Authorized OfficialSimone A McgeePresident · (626) 714-8672

Enumeration DateMay 19, 2025

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1891587606 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.

10630 TOWN CENTER DR STE 105, Rancho Cucamonga, CA 91730

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Evolve Center A Licensed Clinical Social Worker Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mind Evolve Center A Licensed Clinical Social Worker Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Simone Mcgee, LMFT

Marriage and Family Therapist

NPI 1417610817

10630 TOWN CENTER DR STE 105
Rancho Cucamonga, CA 91730

(626) 714-8672

✔ PECOS✔ Accepts MedicareSame address

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 Mind Evolve Center A Licensed Clinical Social Worker Corporation's NPI number?

The NPI number for Mind Evolve Center A Licensed Clinical Social Worker Corporation is 1891587606. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Mind Evolve Center A Licensed Clinical Social Worker Corporation located?

Mind Evolve Center A Licensed Clinical Social Worker Corporation is located at 10630 Town Center Dr Ste 105, Rancho Cucamonga, CA 91730. The listed phone number is (626) 714-8672.

What is Mind Evolve Center A Licensed Clinical Social Worker Corporation's specialty?

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

Is Mind Evolve Center A Licensed Clinical Social Worker Corporation enrolled in Medicare?

Yes. Mind Evolve Center A Licensed Clinical Social Worker Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Evolve Center A Licensed Clinical Social Worker Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Mind Evolve Center A Licensed Clinical Social Worker Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mind Evolve Center A Licensed Clinical Social Worker Corporation was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.