Active NPI
Phyllis Crough
- Counselor
- Fresno, CA
National Provider Identifier
1306907035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4441 E Kings Canyon Rd
Fresno, CA 93702-3604 - Phone
- (559) 600-4692
- Fax
- (559) 600-4665
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Recreation Therapist | 225800000X |
Addresses
Primary practice location
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Mailing address
4447 E. Kings Canyon Rd
Fresno, CA 93702
Phone (559) 600-4692
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1306907035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4447 E. KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "93702",
"telephone_number": "559-600-4692",
"fax_number": "559-600-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-600-4692",
"fax_number": "559-600-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUGH",
"first_name": "PHYLLIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.