Active NPI
Bao Vang, LPCC13138
- Professional Counselor
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13138
- Practice address
- 4871 E Cesar Chavez Blvd
Fresno, CA 93727-3811 - Phone
- (559) 255-8395
- Fax
- (559) 255-1690
- NPI assigned
- Apr 18, 2018
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 8671 | CA | |
| Mental Health Counselor | 101YM0800X | LPCC13138 | CA | |
| Professional Counselor | 101YP2500X | LPCC13138 | CA | |
| Behavior Technician | 106S00000X | |||
| Professional Counselor | 101YP2500X | 13138 | CA | Primary |
Addresses
Primary practice location
4871 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Mailing address
4871 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Phone (559) 255-8395
Other practice location 1
4855 E Cesar Chavez Blvd
Fresno, CA 93727-3811
Phone (559) 255-8395
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC13138 | CA | MD | Mental Health Counselor |
| 13138 | CA | MD | Optometrist |
| 8671 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Fresno Center | Current | Accepting new patients | |
| The Fresno Center | Mental Health | Current | Accepting new patients |
| The Fresno Center | Past | Accepting new patients |
Locations
4879 E Kings Canyon Rd
Fresno, CA 93727
Phone 5592558395 ext. 242
4855 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 390-0963
4871 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 390-0963
1725 N Fine Ave
Fresno, CA 93727
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Fresno, CA
- NPI 1437347721
-
- Adult Day Care Clinic/Center
- Fresno, CA
- NPI 1770197659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1083101752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4871 E CESAR CHAVEZ BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273811",
"telephone_number": "559-255-8395",
"fax_number": "559-255-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4871 E CESAR CHAVEZ BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937273811",
"telephone_number": "559-255-8395",
"fax_number": "559-255-1690"
}
],
"practiceLocations": [
{
"address_1": "4855 E Cesar Chavez Blvd",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937273811",
"country_code": "US",
"telephone_number": "559-255-8395",
"fax_number": "559-255-1690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANG",
"first_name": "BAO",
"credential": "LPCC13138",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "8671",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC13138",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC13138",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "13138",
"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 Jun 3, 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.