Individual provider Active NPI

Bao Vang, LPCC13138

  • Professional Counselor
  • Fresno, CA
National Provider Identifier
1083101752
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13138 Issued in CA
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

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPCC13138CAMDMental Health Counselor
13138CAMDOptometrist
8671CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Fresno Center CurrentSince Mar 1, 2024 Accepting new patients
The Fresno Center Mental Health CurrentSince Apr 9, 2023 Accepting new patients
The Fresno Center PastSince Apr 1, 2023 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.

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.

Verify at the official NPI Registry.