Vidal Michael Bejarano, ASW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

111806 Issued in CA

Practice address

3333 E American Ave
Fresno, CA 93725-9247

Phone

(559) 600-4881

Fax

(559) 495-3650

NPI assigned

May 25, 2011

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1417240383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4376",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937444376",
            "telephone_number": "559-245-1159",
            "fax_number": "559-495-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E AMERICAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259247",
            "telephone_number": "559-600-4881",
            "fax_number": "559-495-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJARANO",
        "first_name": "VIDAL",
        "middle_name": "MICHAEL",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "111806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neilinder Singh Behniwal
• Kathleen L Behr, MD
• Patricia Behrens, LMFT
• Marvin Clemens Beil, M.D.
• Lisay Bejarano
• Sundeep Bekal, DO
• Monique Amanda Bekeschus, MS, BCBA
• Rudy Bekeschus
• Adanna Bekverdyan, RN, BSN
• Nairi Bekverdyan, M.A. CCC-SLP

• 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 Nov 17, 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.

Verify at the official NPI Registry.