Active NPI
Alisha Charise Thull
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1659896223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- B0000880620
- Practice address
- 3333 E American Ave
Fresno, CA 93725-9247 - Phone
- (559) 600-4879
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | B0000880620 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
3333 E American Ave
Fresno, CA 93725-9247
Mailing address
2250 W. Clinton Ave
Building B #128
Fresno, CA 93705
Phone (559) 245-1161
Other practice location 1
4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 433-4850
Other practice location 2
3122 N Millbrook Ave Ste Bandc
Fresno, CA 93703-1458
Phone (559) 225-9117
Other practice location 3
2250 W Clinton Ave
Building B #128
Fresno, CA 93705
Phone (559) 225-9117
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 |
|---|---|---|---|
| B0000880620 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1659896223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 W. CLINTON AVE",
"address_2": "BUILDING B #128",
"city": "FRESNO",
"state": "CA",
"postal_code": "93705",
"telephone_number": "559-245-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 E AMERICAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937259247",
"telephone_number": "559-600-4879"
}
],
"practiceLocations": [
{
"address_1": "4939 E Yale Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271523",
"country_code": "US",
"telephone_number": "559-433-4850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3122 N Millbrook Ave Ste Bandc",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937031458",
"country_code": "US",
"telephone_number": "559-225-9117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 W Clinton Ave",
"address_2": "Building B #128",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93705",
"country_code": "US",
"telephone_number": "559-225-9117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THULL",
"first_name": "ALISHA",
"middle_name": "CHARISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "B0000880620",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"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 Jan 3, 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.