Leeanthony Hullon, PEER SUPPORT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2340 S Clara Ave
Fresno, CA 93706-4308

Phone

(415) 269-1593

NPI assigned

Sep 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Leeanthony Hullon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1144048406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S CLARA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937064308",
            "telephone_number": "415-269-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S CLARA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937064308",
            "telephone_number": "415-269-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLON",
        "first_name": "LEEANTHONY",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEANTHONY",
            "last_name": "HULLON",
            "credential": "PEER SUPPORT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Lynn Huipio, PA
• Gladys Huizar
• Paul Hulak
• Igor Franjo Huljev, DC
• Thomas Hart Hull, MD
• Sara Hulsey
• Shawna Hulsey
• Scott Randall Hultman, O,D.
• Devon Jeanne Hulunian, MS
• Humangood Fresno

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.