Active NPI
Taniesha Nicole Whitelow
- Counselor
- Fresno, CA
National Provider Identifier
1063062396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1027 N Van Ness Ave
Fresno, CA 93728-3429 - Phone
- (559) 268-7613
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1027 N Van Ness Ave
Fresno, CA 93728-3429
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (877) 418-2978
Other practice location 1
7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 622-8318 ext. 55962
Other practice location 2
10120 Lanes Bridge Dr
Madera, CA 93636-8890
Phone (559) 431-5532 ext. 55943
Other practice location 3
4291 N Millbrook Ave
Fresno, CA 93726-3438
Phone (559) 224-7967 ext. 55922
Other practice location 4
775 E Spruce Ave
Fresno, CA 93720-3016
Phone (559) 431-5073 ext. 55943
Other practice location 5
1415 W Barstow Ave
Fresno, CA 93711-3018
Phone (559) 438-9344 ext. 55943
Other practice location 6
718 E Minarets Ave
Fresno, CA 93720-3010
Phone (559) 447-1114 ext. 55944
Other practice location 7
1853 E Niles Ave
Fresno, CA 93720-2342
Phone (559) 325-3892 ext. 55932
Other practice location 8
1942 E Niles Ave
Fresno, CA 93720-2344
Phone (559) 323-4957 ext. 55932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1063062396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283429",
"telephone_number": "559-268-7613"
}
],
"practiceLocations": [
{
"address_1": "7120 N Marks Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937110268",
"country_code": "US",
"telephone_number": "559-622-8318 x55962",
"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 x55943",
"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 x55922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 E Spruce Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203016",
"country_code": "US",
"telephone_number": "559-431-5073 x55943",
"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 x55943",
"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 x55944",
"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 x55932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1942 E Niles Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937202344",
"country_code": "US",
"telephone_number": "559-323-4957 x55932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITELOW",
"first_name": "TANIESHA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106S00000X",
"state": "CA"
}
],
"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 Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.