Individual provider Active NPI

Yesenia Rodriguez, ASW

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1285291344
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW79216 Issued in CA
Practice address
302 Fresno St Ste 106
Fresno, CA 93706-3641
Phone
(559) 736-7941
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 ASW79216 CA Primary

Addresses

Primary practice location

302 Fresno St Ste 106
Fresno, CA 93706-3641

Mailing address

302 Fresno St Ste 106
Fresno, CA 93706-3641
Phone (559) 457-5750

Other practice location 1

2010 N Fine Ave Ste 105
Fresno, CA 93727-1558
Phone (559) 457-5750

Other practice location 2

3451 W Shaw Ave Ste 101
Fresno, CA 93711-3242
Phone (559) 457-5753

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
ASW79216CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1285291344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063641",
            "telephone_number": "559-457-5750",
            "fax_number": "559-256-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063641",
            "telephone_number": "559-736-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 N Fine Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271558",
            "country_code": "US",
            "telephone_number": "559-457-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 W Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113242",
            "country_code": "US",
            "telephone_number": "559-457-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YESENIA",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW79216",
            "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 7, 2019; 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.