Individual provider Active NPI

Claudia E. Sanchez, LCSW

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1336308030
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74819 Issued in CA
Practice address
4545 N West Ave
Fresno, CA 93705-0946
Phone
(559) 229-3561
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 74819 CA Primary

Addresses

Primary practice location

4545 N West Ave
Fresno, CA 93705-0946

Mailing address

4545 N West Ave
Fresno, CA 93705-0946
Phone (559) 229-3561

Other practice location 1

1393 Bailey Drive
Hanford, CA 93230-5922
Phone (559) 582-4481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210324002089 CA Order and Referring Only - Clinical Social Worker 2466869136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74819CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap Past Accepting new patients
Comprehensive Youth Services of Fresno, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: claudia.sanchez.1@17661.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1336308030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1393 Bailey Drive",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305922",
            "country_code": "US",
            "telephone_number": "559-582-4481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CLAUDIA",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "74819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.