Individual provider Active NPI

Isabel Vela, PASTOR, HERBOLOGIST

  • Counselor
  • Fresno, CA
National Provider Identifier
1336855675
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3626 E Ventura Ave
Fresno, CA 93702-3252
Phone
(559) 667-3608
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Pastoral Counselor 101YP1600X
Poetry Therapist 102X00000X
Health & Wellness Coach 171400000X
Case Manager/Care Coordinator 171M00000X
Naprapath 172P00000X
Community Health Worker 172V00000X
Naturopath 175F00000X
Homeopath 175L00000X
Peer Specialist 175T00000X
Recreation Therapist 225800000X
Music Therapist 225A00000X
Adult Companion 372600000X
Religious Nonmedical Practitioner 374K00000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

3626 E Ventura Ave
Fresno, CA 93702-3252

Mailing address

1830 S Mooney Blvd Ste 101
Visalia, CA 93277-4488
Phone (559) 667-3608

Other practice location 1

255 N Fulton St Ste 109
Fresno, CA 93701-1600
Phone (559) 667-3608

Other practice location 2

1830 S Mooney Blvd Ste 101
Visalia, CA 93277-4488
Phone (559) 667-3608

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Fathers Home LLC CurrentSince Feb 8, 2023 Accepting new patients

Locations

255 N Fulton St
Ste 109
Fresno, CA 93701
Phone (559) 667-3608

1830 S Mooney Blvd
Ste 101
Visalia, CA 93277
Phone (559) 667-3608

Organizations & group practices 1

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1336855675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S MOONEY BLVD STE 101",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774488",
            "telephone_number": "559-667-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E VENTURA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023252",
            "telephone_number": "559-667-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N Fulton St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011600",
            "country_code": "US",
            "telephone_number": "559-667-3608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 S Mooney Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774488",
            "country_code": "US",
            "telephone_number": "559-667-3608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELA",
        "first_name": "ISABEL",
        "credential": "PASTOR, HERBOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Feb 2, 2023; 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.