Individual provider Active NPI

George Boyadjian

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1003586215
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CI48730925 Issued in CA
Practice address
2329 E Ashlan Ave
Fresno, CA 93726-3102
Phone
(559) 917-5336
NPI assigned
Sep 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CI48730925 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

2329 E Ashlan Ave
Fresno, CA 93726-3102

Mailing address

2329 E Ashlan Ave
Fresno, CA 93726-3102
Phone (559) 917-5336

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fresno Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Shelter Community Services Addiction (Substance Use Disorder) Current Accepting new patients
Home Shelter Community Services Addiction (Substance Use Disorder) Current Accepting new patients
Mihr Transport Current Accepting new patients

Locations

2329 E Ashlan Ave
Fresno, CA 93726
Phone (559) 917-5336

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1003586215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 E ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263102",
            "telephone_number": "559-917-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 E ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263102",
            "telephone_number": "559-917-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYADJIAN",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI48730925",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fresno",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2329 E Ashlan Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937263102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.