Organization Active NPI

Destination.Hope Counseling & Enrichment Center

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1063993756
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DESTINATION.HOPE COUNSELING & ENRICHMENT CENTER
Practice address
5756 N Marks Ave Ste 156
Fresno, CA 93711-2171
Phone
(559) 709-9169
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Mrs. Antionette Denise Brookins, LMFTNPI 1649330069
Title
Owner
Phone
(559) 709-9169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5756 N Marks Ave Ste 156
Fresno, CA 93711-2171

Mailing address

5275 N 1St St
Fresno, CA 93710-7007
Phone (559) 709-9169

Other practice location 1

5275 N 1st St
Fresno, CA 93710-7007
Phone (559) 709-9169

Other practice location 2

3723 E Dakota Ave
Fresno, CA 93726-5106
Phone (559) 709-9169

National Provider Directory

National Provider Directory

Locations

5756 N Marks Ave
Ste 156
Fresno, CA 93711
Phone (559) 709-9169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1063993756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107007",
            "telephone_number": "559-709-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N MARKS AVE STE 156",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112171",
            "telephone_number": "559-709-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5275 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107007",
            "country_code": "US",
            "telephone_number": "559-709-9169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3723 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937265106",
            "country_code": "US",
            "telephone_number": "559-709-9169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESTINATION.HOPE COUNSELING & ENRICHMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "BROOKINS",
        "authorized_official_first_name": "ANTIONETTE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-709-9169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Mar 11, 2019; 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.