Active NPI
Lavell Teran Robinson, MASTERS OF SCIENCE
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1497086565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3467 W Shaw Ave Ste 101
Fresno, CA 93711-3223 - Phone
- (559) 271-3096
- Fax
- (559) 274-0292
- NPI assigned
- Jan 28, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | CA | ||
| Mental Health Counselor | 101YM0800X | CA | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | WI |
Addresses
Primary practice location
3467 W Shaw Ave Ste 101
Fresno, CA 93711-3223
Mailing address
801 E Adelaide Way
Dinuba, CA 93618-1758
Phone (559) 591-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497086565 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point of Central California, Inc. | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Fresno, CA
- NPI 1073804498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1497086565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E ADELAIDE WAY",
"city": "DINUBA",
"state": "CA",
"postal_code": "936181758",
"telephone_number": "559-591-6800",
"fax_number": "559-591-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3467 W SHAW AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113223",
"telephone_number": "559-271-3096",
"fax_number": "559-274-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LAVELL",
"middle_name": "TERAN",
"name_prefix": "Mr.",
"credential": "MASTERS OF SCIENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-28",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497086565",
"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 Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.