Individual provider Active NPI

Tonya Renee Richie

  • Peer Specialist
  • Fresno, CA
National Provider Identifier
1093499683
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-DRIUYH Issued in CA
Practice address
2550 W Clinton Ave BLDG W
Fresno, CA 93705-4206
Phone
(559) 264-7521
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Peer Specialist 175T00000X MPSS-DRIUYH CA Primary

Addresses

Primary practice location

2550 W Clinton Ave BLDG W
Fresno, CA 93705-4206

Mailing address

2550 W Clinton Ave BLDG W
Fresno, CA 93705-4206

Other practice location 1

2549 W Shaw Ave
Fresno, CA 93711-3308
Phone (559) 264-7521

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

State licenses

LicenseStateTypeSpecialty
MPSS-DRIUYHCAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Jun 18, 2023 Accepting new patients
Mental Health Systems, Inc. PastSince Jun 18, 2023 Accepting new patients

Locations

2549 W Shaw Ave
Fresno, CA 93711
Phone 5592647521 ext. 6

2550 W Clinton Ave
Bldg W
Fresno, CA 93705
Phone (559) 264-7521

Organizations & group practices 2

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1093499683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE BLDG W",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE BLDG W",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054206",
            "telephone_number": "559-264-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2549 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113308",
            "country_code": "US",
            "telephone_number": "559-264-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "TONYA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-DRIUYH",
            "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 Feb 14, 2024; 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.