NPIMap

Individual provider Active NPI

Renee Angelique Accardo

  • Counselor
  • Fresno, CA
National Provider Identifier
1013635853
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1942 E Niles Ave
Fresno, CA 93720-2344
Phone
(559) 325-4957
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X Primary

Addresses

Primary practice location

1942 E Niles Ave
Fresno, CA 93720-2344

Mailing address

7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 439-5437

Other practice location 1

775 E Spruce Ave
Fresno, CA 93720-3016
Phone (559) 431-5437

Other practice location 2

1415 W Barstow Ave
Fresno, CA 93711-3018
Phone (559) 438-9344

Other practice location 3

1027 N Van Ness Ave
Fresno, CA 93728-3429
Phone (559) 268-7613

Other practice location 4

7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 431-5532

Other practice location 5

4291 N Millbrook Ave
Fresno, CA 93726-3438
Phone (559) 224-7967

Other practice location 6

718 E Minarets Ave
Fresno, CA 93720-3010
Phone (559) 447-1114

Other practice location 7

10120 Lanes Bridge Dr
Madera, CA 93636-8890
Phone (559) 431-5532

Other practice location 8

1853 E Niles Ave
Fresno, CA 93720-2342
Phone (559) 325-3892

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
Genesis Family Center Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health Past Accepting new patients
Promesa Behavioral Health PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 9

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1013635853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N MARKS AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110268",
            "telephone_number": "559-439-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E NILES AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202344",
            "telephone_number": "559-325-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 E Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203016",
            "country_code": "US",
            "telephone_number": "559-431-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113018",
            "country_code": "US",
            "telephone_number": "559-438-9344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283429",
            "country_code": "US",
            "telephone_number": "559-268-7613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7120 N Marks Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110268",
            "country_code": "US",
            "telephone_number": "559-431-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4291 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263438",
            "country_code": "US",
            "telephone_number": "559-224-7967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203010",
            "country_code": "US",
            "telephone_number": "559-447-1114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10120 Lanes Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368890",
            "country_code": "US",
            "telephone_number": "559-431-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1853 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202342",
            "country_code": "US",
            "telephone_number": "559-325-3892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACCARDO",
        "first_name": "RENEE",
        "middle_name": "ANGELIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 7, 2022; 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.