Individual provider Active NPI

Cheree Melissa Alejandro, LPCC 10092

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1356795587
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC10092 Issued in CA
Practice address
2772 S Martin Luther King Blvd
Fresno, CA 93706
Phone
(559) 265-4800
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

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.

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
2280CAMDAddiction (Substance Use Disorder) Counselor
APCC2280CAMDMental Health Counselor
PCCI2280CAMDMental Health Counselor
LPCC10092CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Behavioral Health and Recovery Care Corp Mental Health PastSince Apr 20, 2021 Accepting new patients

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2280 CA
Mental Health Counselor 101YM0800X PCCI2280 CA
Mental Health Counselor 101YM0800X APCC2280 CA
Professional Counselor 101YP2500X LPCC10092 CA
Mental Health Counselor 101YM0800X LPCC10092 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2772 S Martin Luther King Blvd
Fresno, CA 93706

Mailing address

3621 Griffith Ave
Clovis, CA 93619-7271
Phone (559) 540-4789

Other practice location 1

1616 W Shaw Ave Ste B2
Fresno, CA 93711-3513
Phone (559) 293-3174

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2021.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1356795587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 GRIFFITH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197271",
            "telephone_number": "559-540-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 S MARTIN LUTHER KING BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93706",
            "telephone_number": "559-265-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 W Shaw Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113513",
            "country_code": "US",
            "telephone_number": "559-293-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEJANDRO",
        "first_name": "CHEREE",
        "middle_name": "MELISSA",
        "credential": "LPCC 10092",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "2280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PCCI2280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC2280",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC10092",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC10092",
            "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 Oct 15, 2021; 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.