Individual provider Active NPI

Quentina Olinthia Johnson

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1194395996
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC9821 Issued in CA
Practice address
3845 N Clark St Ste 201
Fresno, CA 93726-4842
Phone
(559) 621-2121
Fax
(559) 457-1188
NPI assigned
Jun 25, 2021
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC9821 CA Primary

Addresses

Primary practice location

3845 N Clark St Ste 201
Fresno, CA 93726-4842

Mailing address

1437 Plymouth Rock Way
Clovis, CA 93612-2400
Phone (559) 776-7349

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

LicenseStateTypeSpecialty
APCC9821CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resiliency Center of Fresno CurrentSince Aug 7, 2022 Accepting new patients
Relationship Counseling Center of California, Licensed Clinical Social Past Accepting new patients

Locations

3845 N Clark St
Ste 201
Fresno, CA 93726
Phone (559) 492-2266

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1194395996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 PLYMOUTH ROCK WAY",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122400",
            "telephone_number": "559-776-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 N CLARK ST STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264842",
            "telephone_number": "559-621-2121",
            "fax_number": "559-457-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUENTINA",
        "middle_name": "OLINTHIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC9821",
            "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 Aug 2, 2022; 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.