Individual provider Active NPI

Joe Pasillas

  • Counselor
  • Fresno, CA
National Provider Identifier
1730222936
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3855 N West Ave
Fresno, CA 93705-2759
Phone
(559) 274-0299
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X CA

Addresses

Primary practice location

3855 N West Ave
Fresno, CA 93705-2759

Mailing address

258 N Blackstone Ave
Suite # 102
Fresno, CA 93701-1913
Phone (559) 274-0299

Other practice location 1

258 N Blackstone Ave
Fresno, CA 93701-1913
Phone (559) 274-0299

Other identifiers 2

IdentifierTypeStateIssuer
900406OtherCASTAFF ID NUMBER
100213OtherCASTAFF NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1730222936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N BLACKSTONE AVE",
            "address_2": "SUITE # 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011913",
            "telephone_number": "559-274-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937052759",
            "telephone_number": "559-274-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011913",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASILLAS",
        "first_name": "JOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAFF ID NUMBER",
            "identifier": "900406",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAFF NUMBER",
            "identifier": "100213",
            "state": "CA"
        }
    ],
    "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 Sep 17, 2020; 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.