Active NPI
Henry Dion Rowe
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1447700745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6483
- Practice address
- 4411 N Cedar Ave Ste 108
Fresno, CA 93726-2538 - Phone
- (559) 248-1548
- Fax
- (559) 248-1530
- NPI assigned
- Oct 11, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6483 | CA | Primary |
Addresses
Primary practice location
4411 N Cedar Ave Ste 108
Fresno, CA 93726-2538
Mailing address
4411 N Cedar Ave Ste 108
Fresno, CA 93726-2538
Phone (559) 248-1548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100039AN | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6483 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1447700745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 N CEDAR AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937262538",
"telephone_number": "559-248-1548",
"fax_number": "559-248-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N CEDAR AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937262538",
"telephone_number": "559-248-1548",
"fax_number": "559-248-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "HENRY",
"middle_name": "DION",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "6483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100039AN",
"state": "CA"
}
],
"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 Nov 20, 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.