Organization Active NPI

St.Joseph Counseling Center

  • Adult Mental Health Clinic/Center
  • Fresno, CA
National Provider Identifier
1710430418
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LCSW27297 Issued in CA
Legal business name
ST.JOSEPH COUNSELING CENTER
Practice address
5430 N. Palm #108
St. Joseph Counseling Center
Fresno, CA 93704-1900
Phone
(559) 438-1200
Fax
(559) 438-1413
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Rufina Sandoval
Title
LCSW
Phone
(559) 438-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LCSW27297 CA Primary

Addresses

Primary practice location

5430 N. Palm #108
St. Joseph Counseling Center
Fresno, CA 93704-1900

Mailing address

5430 N. Palm #108
St. Joseph Counseling Center
Fresno, CA 93704-1900
Phone (559) 438-1200

National Provider Directory

National Provider Directory

Locations

5430 N Palm Ave
Ste 108
Fresno, CA 93704
Phone (559) 438-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1710430418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 N. PALM #108",
            "address_2": "ST. JOSEPH COUNSELING CENTER",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041900",
            "telephone_number": "559-438-1200",
            "fax_number": "559-438-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 N. PALM #108",
            "address_2": "ST. JOSEPH COUNSELING CENTER",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041900",
            "telephone_number": "559-438-1200",
            "fax_number": "559-438-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOSEPH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "RUFINA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "559-438-1200"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "LCSW27297",
            "primary": true
        }
    ],
    "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 Jul 28, 2016; 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.