NPIMap

Individual provider Active NPI

Mary Cherie Lee-Van

  • Rehabilitation Practitioner
  • Fresno, CA
National Provider Identifier
1508524299
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
4862 E Clinton Ave
Fresno, CA 93703-2873
Phone
(559) 252-2450
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Rehabilitation Practitioner 225400000X Primary
Counselor 101Y00000X CA

Addresses

Primary practice location

4862 E Clinton Ave
Fresno, CA 93703-2873

Mailing address

2763 Peach Ave
Clovis, CA 93612-0822
Phone (559) 708-7635

Other practice location 1

6224 W Belmont Ave
Fresno, CA 93723-9556
Phone (559) 394-4275

Other practice location 2

320 E Warner Ave
Fresno, CA 93710-3711
Phone (559) 252-1613

Other practice location 3

2216 E Cambridge Ave
Fresno, CA 93703-2123
Phone (559) 252-2140

Other practice location 4

64 E Weldon Ave
Fresno, CA 93704-5956
Phone (559) 442-1947

Other practice location 5

643 E Sample Ave
Fresno, CA 93710-5428
Phone (559) 252-2204

Other practice location 6

1105 E Yale Ave
Fresno, CA 93704-6238
Phone (559) 252-1738

Other practice location 7

4165 E Perrin Rd
Clovis, CA 93619-9118
Phone (559) 297-6893

Other practice location 8

6250 N Millbrook Ave
Fresno, CA 93710-5620
Phone (559) 431-7874

Other practice location 9

3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 454-0822

Other practice location 10

3267 W Rialto Ave
Fresno, CA 93722-4138
Phone (559) 244-0881

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

OrganizationSpecialtyStatusNew patients
Fresno Youth Care Homes, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Quality Group Homes, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Quality Group Homes, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Dec 1, 2021 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Apr 1, 2023 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1508524299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 PEACH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120822",
            "telephone_number": "559-708-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4862 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032873",
            "telephone_number": "559-252-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6224 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937239556",
            "country_code": "US",
            "telephone_number": "559-394-4275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937103711",
            "country_code": "US",
            "telephone_number": "559-252-1613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032123",
            "country_code": "US",
            "telephone_number": "559-252-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 E Weldon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045956",
            "country_code": "US",
            "telephone_number": "559-442-1947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 E Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105428",
            "country_code": "US",
            "telephone_number": "559-252-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937046238",
            "country_code": "US",
            "telephone_number": "559-252-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4165 E Perrin Rd",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199118",
            "country_code": "US",
            "telephone_number": "559-297-6893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105620",
            "country_code": "US",
            "telephone_number": "559-431-7874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-454-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3267 W Rialto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224138",
            "country_code": "US",
            "telephone_number": "559-244-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE-VAN",
        "first_name": "MARY",
        "middle_name": "CHERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 12, 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.