NPIMap

Organization Active NPI

Elevate Community Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fresno, CA
National Provider Identifier
1427773183
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ELEVATE COMMUNITY SERVICES, INC.
Practice address
2550 W Clinton Ave Unit 142
Fresno, CA 93705-4209
Phone
(585) 314-3914
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Kathryn C Wilbur, LCSWNPI 1538584693
Title
Executive Director
Phone
(585) 314-3914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2550 W Clinton Ave Unit 142
Fresno, CA 93705-4209

Mailing address

2550 W Clinton Ave Unit 142
Fresno, CA 93705-4209
Phone (585) 314-3914

Other practice location 1

1804 W Olive Ave
Fresno, CA 93728-2619
Phone (559) 500-1888

National Provider Directory

National Provider Directory

Locations

1804 W Olive Ave
Fresno, CA 93728
Phone (559) 500-1888

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1427773183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE UNIT 142",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054209",
            "telephone_number": "585-314-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE UNIT 142",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054209",
            "telephone_number": "585-314-3914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 W Olive Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937282619",
            "country_code": "US",
            "telephone_number": "559-500-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-314-3914",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, 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 Oct 5, 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.