Active NPI
Deboarh Ann Harrison-Rodgers, AS
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1114100138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 611 E Belmont Ave
Fresno, CA 93701-1502 - Phone
- (559) 237-3420
- NPI assigned
- Dec 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
611 E Belmont Ave
Fresno, CA 93701-1502
Mailing address
1099 Sylmar Ave
106
Clovis, CA 93612-1661
Phone (559) 324-0743
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
- Credentials
- Associate of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1114100138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 SYLMAR AVE",
"address_2": "106",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121661",
"telephone_number": "559-324-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E BELMONT AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937011502",
"telephone_number": "559-237-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON-RODGERS",
"first_name": "DEBOARH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "AS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"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 Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.