Active NPI
Jennifer Ann Hall
- Day Training/Habilitation Specialist
- Fresno, CA
National Provider Identifier
1073840633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 496 S Barton Ave
Fresno, CA 93702-2985 - Phone
- (559) 860-4422
- NPI assigned
- Nov 3, 2009
- Last updated
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Day Training/Habilitation Specialist | 373H00000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Community Health Worker | 172V00000X | CA |
Addresses
Primary practice location
496 S Barton Ave
Fresno, CA 93702-2985
Mailing address
3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229
Phone (559) 558-4051
Other practice location 1
3115 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-2382
Other practice location 2
4411 E Cesar Chavez Blvd # 319
Fresno, CA 93702-3604
Phone (559) 600-2382
Other names 1
- Jennifer Ann Manning
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": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1073840633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-558-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 S BARTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937022985",
"telephone_number": "559-860-4422"
}
],
"practiceLocations": [
{
"address_1": "3115 N Millbrook Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937031425",
"country_code": "US",
"telephone_number": "559-600-2382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4411 E Cesar Chavez Blvd # 319",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937023604",
"country_code": "US",
"telephone_number": "559-600-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MANNING",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.