Jose Luis Chavez, MFT-INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF44928 Issued in CA

Practice address

1630 E Shaw Ave
Suite 150
Fresno, CA 93710-8105

Phone

(559) 248-8550

Fax

(559) 248-8555

NPI assigned

Apr 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1013180041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E SHAW AVE",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108105",
            "telephone_number": "559-248-8550",
            "fax_number": "559-248-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E SHAW AVE",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108105",
            "telephone_number": "559-248-8550",
            "fax_number": "559-248-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF44928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Chavez
• Helen G Chavez
• Ivette Alicia Chavez, BACHELORS
• Jazmin Chavez
• Jose Chavez
• Kathryn Elaine Chavez, PPS
• Leticia Chavez
• Leticia J Chavez, PSYD
• Liset Chavez
• Manuel A Chavez, DDS

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.