Active NPI
Anna Allen
- Peer Specialist
- Fresno, CA
National Provider Identifier
1154733863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-TXGQSK
- Practice address
- 2550 W Clinton Ave
Fresno, CA 93705-4201 - Phone
- (559) 264-7521
- Fax
- (559) 233-0016
- NPI assigned
- May 29, 2014
- Last updated
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | MPSS-TXGQSK | CA | Primary |
Addresses
Primary practice location
2550 W Clinton Ave
Fresno, CA 93705-4201
Mailing address
2550 W Clinton
Unit 116
Fresno, CA 93705-4201
Phone (559) 264-7521
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-TXGQSK | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1154733863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W CLINTON",
"address_2": "UNIT 116",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054201",
"telephone_number": "559-264-7521",
"fax_number": "559-233-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054201",
"telephone_number": "559-264-7521",
"fax_number": "559-233-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ANNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-29",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-TXGQSK",
"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 Jul 11, 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.