Individual provider Active NPI

Luis Guillermo Huerta

  • Counselor
  • Fresno, CA
National Provider Identifier
1093376741
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
64 E Weldon Ave
Fresno, CA 93704-5956
Phone
(559) 442-1947
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Counselor 101Y00000X CA Primary

Addresses

Primary practice location

64 E Weldon Ave
Fresno, CA 93704-5956

Mailing address

5325 N Fresno St Ste 106
Fresno, CA 93710-6849
Phone (877) 418-2978

Other practice location 1

5325 N Fresno St Ste 106
Fresno, CA 93710-6849
Phone (877) 418-2978

Other practice location 2

5271 W Palo Alto Ave
Fresno, CA 93722-3635
Phone (559) 276-2331

Other practice location 3

1788 Celeste Ave
Clovis, CA 93611-2069
Phone (559) 243-7002

Other practice location 4

3138 W Barstow Ave
Fresno, CA 93711-2603
Phone (559) 243-7002

Other practice location 5

2291 N Hazel Ave
Fresno, CA 93722-5562
Phone (559) 243-7002

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Youth Care Homes, Inc. CurrentSince Apr 17, 2022 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Apr 17, 2022 Accepting new patients
Kyjo Enterprises, Inc. PastSince Apr 25, 2021 Accepting new patients
Kyjo Enterprises, Inc. PastSince Feb 1, 2021 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Nov 21, 2021 Accepting new patients
Kyjo Enterprises, Inc. PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 6

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1093376741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 N FRESNO ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106849",
            "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": "64 E WELDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937045956",
            "telephone_number": "559-442-1947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 N Fresno St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937106849",
            "country_code": "US",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5271 W Palo Alto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223635",
            "country_code": "US",
            "telephone_number": "559-276-2331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1788 Celeste Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936112069",
            "country_code": "US",
            "telephone_number": "559-243-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112603",
            "country_code": "US",
            "telephone_number": "559-243-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2291 N Hazel Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225562",
            "country_code": "US",
            "telephone_number": "559-243-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "LUIS",
        "middle_name": "GUILLERMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "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 Aug 31, 2022; 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.