Brielle E Hoban

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

693 W Bullard Ave
Fresno, CA 93704-1607

Phone

(916) 380-0877

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brielle E Waller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fresh Start Youth Center Incorporated

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1699226803
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1356935696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 N PEACH AVE APT 124",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937278402",
            "telephone_number": "559-203-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 W BULLARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041607",
            "telephone_number": "916-380-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBAN",
        "first_name": "BRIELLE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIELLE",
            "last_name": "WALLER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Nu Ngoc Ho, MD
• Tienchin Ho, M.D.
• Tran Bich Ho, D.O.
• Ha Ti Bich Hoang Nishihara, N.P.
• Jennifer U Hoang, D.O.
• Michael Hobart, CRNA
• Alexandria Hobbs Hogue
• Althera Hobbs, RAS
• Jordan Christine Hobbs
• Lyrick Hobbs

• 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 26, 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.