GREAT MIND FAMILY COUNSELING AND SKILL BUILDING CENTER, INC.
NPI 1902603509
Clinic/Center - Primary Care in San Bernardino, CA

Q: What is Great Mind Family Counseling And Skill Building Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 01, 2025

441 MACKAY DR, SAN BERNARDINO, CA 92408(909) 279-3711(909) 267-6087 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 8, 2026, Apr 20, 2026, Apr 6, 2026 and 1 more (4 updates tracked since 2025).

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About Great Mind Family Counseling And Skill Building Center, Inc. NPPES

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

GREAT MIND FAMILY COUNSELING AND SKILL BUILDING CENTER, INC. (NPI 1902603509) is a healthcare organization registered as a primary care in San Bernardino, California and active in the NPI registry since March 2025. The organization lists Desiree Marie Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902603509

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameGREAT MIND FAMILY COUNSELING AND SKILL BUILDING CENTER, INC.

Location Address441 MACKAY DRSan Bernardino, CA 92408-3230

Mailing Address441 Mackay DrSan Bernardino, CA 92408-3230 · (909) 279-3711 · Fax (909) 267-6087

Phone(909) 279-3711

Fax(909) 267-6087

Organization SubpartNo

Authorized OfficialDesiree Marie JohnsonAdministrator · (909) 279-3711

Enumeration DateMarch 1, 2025

Last NPPES UpdateMay 8, 20264 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1902603509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

441 MACKAY DR, San Bernardino, CA 92408

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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)

Great Mind Family Counseling And Skill Building Center, Inc. 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 Great Mind Family Counseling And Skill Building Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

David Gennis, PSY.D., LMFT

Marriage and Family Therapist

NPI 1558439935

441 MACKAY DR
San Bernardino, CA 92408

(909) 279-3711

✔ PECOSSame 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 Great Mind Family Counseling And Skill Building Center, Inc.'s NPI number?

The NPI number for Great Mind Family Counseling And Skill Building Center, Inc. is 1902603509. It was assigned to this organization in the NPPES registry on March 1, 2025.

Where is Great Mind Family Counseling And Skill Building Center, Inc. located?

Great Mind Family Counseling And Skill Building Center, Inc. is located at 441 Mackay Dr, San Bernardino, CA 92408. The listed phone number is (909) 279-3711.

What is Great Mind Family Counseling And Skill Building Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Great Mind Family Counseling And Skill Building Center, Inc. enrolled in Medicare?

Yes. Great Mind Family Counseling And Skill Building Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Mind Family Counseling And Skill Building Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Great Mind Family Counseling And Skill Building Center, Inc.. 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 Great Mind Family Counseling And Skill Building Center, Inc. was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.