NPIMap

Organization Active NPI

Safe and Affirmative Counseling, Licensed Clinical Social Worker, Inc

Doing business as Safe And Affirmative Counseling

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1518505262
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAFE AND AFFIRMATIVE COUNSELING, LICENSED CLINICAL SOCIAL WORKER, INC
Doing business as
Safe And Affirmative Counseling
Practice address
7555 N del Mar Ave Ste 206
Fresno, CA 93711-6880
Phone
(559) 824-3779
Fax
(559) 705-1936
NPI assigned
Dec 12, 2019
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Henry L MerazNPI 1396041232
Title
President
Phone
(559) 824-3779

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

7555 N del Mar Ave Ste 206
Fresno, CA 93711-6880

Mailing address

7555 N del Mar Ave Ste 206
Fresno, CA 93711-6880
Phone (559) 824-3779

Other identifiers 1

IdentifierTypeStateIssuer
800677527MedicaidCA

Other names 1

  • Safe And Affirmative Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

55 Shaw Ave
Clovis, CA 93612
Phone (559) 825-1324

7555 N Del Mar Ave
Ste 206
Fresno, CA 93711
Phone (559) 500-6744

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1518505262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 N DEL MAR AVE STE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116880",
            "telephone_number": "559-824-3779",
            "fax_number": "559-705-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 N DEL MAR AVE STE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116880",
            "telephone_number": "559-824-3779",
            "fax_number": "559-705-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE AND AFFIRMATIVE COUNSELING, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2023-09-06",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "MERAZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-824-3779"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800677527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe And Affirmative Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safe And Affirmative Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2023; 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.