4Evergreen Family Services Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

4EVERGREEN FAMILY SERVICES INC

Practice address

516 Villa Ave Ste 2
Clovis, CA 93612-0899

Phone

(559) 760-0948

NPI assigned

Apr 10, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Lee Wenger

Title

Cfo

Phone

(559) 760-4223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Souphaphone Hagan

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1205466570

  Mental Health

  Medicare reassignment NPD
• Matthew Ortega

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1174836340

  Mental Health

  Medicare reassignment NPD
• Les L Wenger, MSRC, RRW

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
  • NPI 1942644919
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1134914237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VILLA AVE STE 2",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120899",
            "telephone_number": "559-760-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VILLA AVE STE 2",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120899",
            "telephone_number": "559-760-0948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 Hwy 140",
            "address_2": "Ste. 8",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "95338",
            "country_code": "US",
            "telephone_number": "559-676-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "4EVERGREEN FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "559-760-4223"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Clovis, CA
• Providers in Clovis, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.