NPIMap

Individual provider Active NPI

Susan Chue

  • Counselor
  • Fresno, CA
National Provider Identifier
1124504469
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
4855 E King Cyn Rd # 105
Fresno, CA 93727-3811
Phone
(559) 255-8395
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

4855 E King Cyn Rd # 105
Fresno, CA 93727-3811

Mailing address

4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (155) 255-8395

Other practice location 1

4879 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395 ext. 242

Other practice location 2

4871 E Kings Canyon Rd
Fresno, CA 93727-3811
Phone (559) 255-8395 ext. 242

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
The Fresno Center PastSince Sep 29, 2019 Accepting new patients
The Fresno Center Past Accepting new patients
The Fresno Center PastSince Sep 1, 2020 Accepting new patients
The Fresno Center Case Manager/Care Coordinator PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 4

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1124504469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "155-255-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 E KING CYN RD # 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273811",
            "telephone_number": "559-255-8395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4879 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-255-8395 x242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4871 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937273811",
            "country_code": "US",
            "telephone_number": "559-255-8395 x242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUE",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "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 Sep 30, 2019; 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.