NPIMap

Organization Active NPI

County of Fresno

  • Exclusive Provider Organization
  • Fresno, CA
National Provider Identifier
1396804191
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
COUNTY OF FRESNO
Practice address
4452 E Cesar Chavez Blvd
Fresno, CA 93702-9370
Phone
(559) 600-9180
Fax
(559) 600-7644
NPI assigned
Dec 7, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Susan L Holt, LMFT
Title
Director of Behavioral Health/Publi
Phone
(559) 600-9058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X CA Primary

Addresses

Primary practice location

4452 E Cesar Chavez Blvd
Fresno, CA 93702-9370

Mailing address

4452 E Kings Canyon Rd
Fresno, CA 93702-9370
Phone (559) 600-9180

Other names 2

  • 4452 E Kings Canyon Rd SUD Other name
  • Pathways 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

Locations

4452 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 600-6068

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1396804191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937029370",
            "telephone_number": "559-600-9180",
            "fax_number": "559-600-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 E CESAR CHAVEZ BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937029370",
            "telephone_number": "559-600-9180",
            "fax_number": "559-600-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH/PUBLI",
        "authorized_official_telephone_number": "559-600-9058",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4452 E Kings Canyon Rd SUD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pathways",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pathways",
            "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 Apr 16, 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.