West Side Church of God

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WEST SIDE CHURCH OF GOD

Practice address

1424 W California Ave
Fresno, CA 93706-3922

Phone

(559) 237-1444

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Maxie Parks

Title

Board Chair

Phone

(559) 237-1444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Celeste M Galeno

  • Marriage & Family Therapist
  • Tulare, CA
  • NPI 1740901271

  Mental Health

  NPD
• Mickie Lynette Valentine, M.A

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1710245139
  NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1285499459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 W CALIFORNIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063922",
            "telephone_number": "559-237-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W CALIFORNIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063922",
            "telephone_number": "559-237-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE CHURCH OF GOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "MAXIE",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "559-237-1444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Care
• West Coast Podiatry, Inc
• West Coast Skin and Cancer Medical Center, Inc.
• West Fresno Foot Clinic Inc
• West Fresno Health Care Coalition
• Dolores Ann West, RN, NP
• Karen West
• Katherine West
• Michael West, SUDRC 21655
• Ryan Edward West

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.