Individual provider Active NPI

Flor Miriam Chavez

  • Professional Counselor
  • Fresno, CA
National Provider Identifier
1104481878
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12547 Issued in CA
Practice address
3451 W Shaw Ave
Fresno, CA 93711-3242
Phone
(559) 202-3423
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12547 CA Primary

Addresses

Primary practice location

3451 W Shaw Ave
Fresno, CA 93711-3242

Mailing address

3451 W Shaw Ave Ste 102
Fresno, CA 93711-3242
Phone (559) 307-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513004150 CA Practitioner - Mental Health Counselor 5294204772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3645 W Shaw Ave
Suite 101
Fresno, CA 93711-3206

9525 Camino Media
Bakersfield, CA 93311-1314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omid Counseling Center, Inc. CurrentSince Nov 6, 2022 Accepting new patients

Locations

3451 W Shaw Ave
Fresno, CA 93711
Phone (559) 202-3423

3451 W Shaw Ave
Ste 102
Fresno, CA 93711
Phone (559) 260-6754

3451 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 202-3423

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1104481878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 W SHAW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113242",
            "telephone_number": "559-307-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113242",
            "telephone_number": "559-202-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "FLOR",
        "middle_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.