NPIMap

Organization Active NPI

Fresno County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
National Provider Identifier
1376677278
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
000001079 Issued in CA
Legal business name
FRESNO COUNTY
Practice address
3151 N Millbrook Ave
Fresno, CA 93703-1425
Phone
(559) 600-4600
NPI assigned
Mar 15, 2007
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Susan Leigh Holt, LMFT
Title
Director
Phone
(559) 600-9058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 000001079 CA Primary

Addresses

Primary practice location

3151 N Millbrook Ave
Fresno, CA 93703-1425

Mailing address

3151 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-4600

Other practice location 1

4409 E Inyo St
Fresno, CA 93702-2977
Phone (559) 453-3806

Other identifiers 2

IdentifierTypeStateIssuer
2679OtherCOST CENTER
000001079MedicaidCA

Other names 1

  • Fresno County Fee For Service LCSW Other name

National Provider Directory

National Provider Directory
Tax ID family
Fresno County Youth Link115 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1376677278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-600-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-600-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4409 E Inyo St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937022977",
            "country_code": "US",
            "telephone_number": "559-453-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESNO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-600-9058",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "000001079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COST CENTER",
            "identifier": "2679",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001079",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno County Fee For Service LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 6, 2025; 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.