Felipe Mercado, PPSC, ASW, ADMIN

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

220102495 Issued in CA

Practice address

6405 E Butler Ave
Fresno, CA 93727-5709

Phone

(559) 759-2790

NPI assigned

Jul 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wise Soul LLC

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1346087756
  NPD Authorized official

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1720825342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 E BUTLER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275709",
            "telephone_number": "559-759-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 E BUTLER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275709",
            "telephone_number": "559-759-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "PPSC, ASW, ADMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "220102495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Avila Mercado
• Danielle Mercado
• Deanna Nicole Mercado, LMFT, PSYD. INTERN
• Edgar Ivan Mercado, PA-C
• Enrique Esteban Mercado, MSW
• Laura Estela Mercado
• Stephanie Harris Mercado, PA-C
• Yarelli Mercado
• Merced Hospice, Inc
• Jennifer Mercer

• School Social Worker in Fresno, CA
• Providers in Fresno, CA by specialty
• School Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.