Individual provider Active NPI

John Brandon Paley

  • Counselor
  • Fresno, CA
National Provider Identifier
1396578274
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1300 E Shaw Ave Ste 149
Fresno, CA 93710-7903
Phone
(559) 554-9710
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1300 E Shaw Ave Ste 149
Fresno, CA 93710-7903

Mailing address

9834 N Meridian Ave
Fresno, CA 93720-4207
Phone (559) 387-0316

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
MRM Family Counseling Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

1300 E Shaw Ave
Ste 149
Fresno, CA 93710
Phone (559) 554-9710

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1396578274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 N MERIDIAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204207",
            "telephone_number": "559-387-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E SHAW AVE STE 149",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107903",
            "telephone_number": "559-554-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEY",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "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 Aug 28, 2024; 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.