Active NPI
Jason James Mason
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1386949519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4630 W Jacquelyn Ave Ste 116
Fresno, CA 93722-6431 - Phone
- (559) 275-2324
- Fax
- (559) 275-2329
- NPI assigned
- Jan 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4630 W Jacquelyn Ave Ste 116
Fresno, CA 93722-6431
Mailing address
4630 W Jacquelyn Ave Ste 116
Fresno, CA 93722-6431
Phone (559) 275-2324
Other practice location 1
3435 W Shaw Ave
Ste 101
Fresno, CA 93711-3234
Phone (559) 213-5273
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancing Independence, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Fresno, CA
- NPI 1801316252
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386949519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 W JACQUELYN AVE STE 116",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226431",
"telephone_number": "559-275-2324",
"fax_number": "559-275-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 W JACQUELYN AVE STE 116",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226431",
"telephone_number": "559-275-2324",
"fax_number": "559-275-2329"
}
],
"practiceLocations": [
{
"address_1": "3435 W Shaw Ave",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937113234",
"country_code": "US",
"telephone_number": "559-213-5273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "JASON",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.