Endeavor Behavioral Health Group

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENDEAVOR BEHAVIORAL HEALTH GROUP

Practice address

1911 N Fine Ave
Fresno, CA 93727-1510

Phone

(559) 458-0210

Fax

(559) 251-9024

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Kristine Ann Recendez, LPCCNPI 1982029427

Title

Therapist/Supervisor

Phone

(916) 295-2969

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristine Ann Recendez, LPCC, LPC

  • Mental Health Counselor
  • Fresno, CA
  • NPI 1982029427

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1164150686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 N FINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271510",
            "telephone_number": "916-295-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N FINE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271510",
            "telephone_number": "559-458-0210",
            "fax_number": "559-251-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR BEHAVIORAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "RECENDEZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST/SUPERVISOR",
        "authorized_official_telephone_number": "916-295-2969",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristiner@qualityfamilyservices.org",
            "affiliation": "N",
            "endpointDescription": "Kris email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1911 N Fine Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937271510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Empire Pharmaceutical Associates, Inc
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• Emr Care Inc
• Victor Encarnacion
• Brenda Idali Enciso
• Endeavor Charter School
• Jennifer Endicott
• Barrett Eng
• Jessica Eng, PHARM. D.
• Rachel Eng, P.T.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.