Active NPI
Christian Emilio Olivas
- Mental Health Counselor
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1415 W Barstow Ave
Fresno, CA 93711-3018 - Phone
- (559) 577-0822
- NPI assigned
- May 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1415 W Barstow Ave
Fresno, CA 93711-3018
Mailing address
7120 N Marks Ave Ste 110
Fresno, CA 93711-0268
Phone (559) 439-5437
Other practice location 1
7120 N Marks Ave Ste 110
Fresno, CA 93711
Phone (559) 439-5437
Other practice location 2
7120 N Marks Ave Ste 110
Fresno, CA 93711
Phone (559) 439-5437
Other practice location 3
775 E Spruce Ave
Fresno, CA 93720-3016
Phone (559) 285-9431
Other practice location 4
10120 Lanes Bridge Dr
Madera, CA 93636-8890
Phone (559) 753-3264
Other practice location 5
1027 N Van Ness Ave
Fresno, CA 93728-3429
Phone (559) 577-0822
Other practice location 6
1942 E Niles Ave
Fresno, CA 93720-2344
Phone (559) 283-1099
Other practice location 7
1853 E Niles Ave
Fresno, CA 93720-2342
Phone (559) 283-1099
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promesa Behavioral Health | Past | Accepting new patients | |
| Promesa Behavioral Health | Past | Accepting new patients | |
| Promesa Behavioral Health | Past | Accepting new patients | |
| Promesa Behavioral Health | Past | Accepting new patients | |
| Promesa Behavioral Health | Past | Accepting new patients | |
| Promesa Behavioral Health | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1154816411
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1245725506
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1417280728
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1528391422
-
- Mental Illness Community Based Residential Treatment Facility
- Madera, CA
- NPI 1568957967
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1902130487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1740845353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 N MARKS AVE STE 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110268",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W BARSTOW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113018",
"telephone_number": "559-577-0822"
}
],
"practiceLocations": [
{
"address_1": "7120 N Marks Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93711",
"country_code": "US",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7120 N Marks Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93711",
"country_code": "US",
"telephone_number": "559-439-5437",
"fax_number": "559-439-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 E Spruce Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203016",
"country_code": "US",
"telephone_number": "559-285-9431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10120 Lanes Bridge Dr",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "936368890",
"country_code": "US",
"telephone_number": "559-753-3264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1027 N Van Ness Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937283429",
"country_code": "US",
"telephone_number": "559-577-0822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1942 E Niles Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937202344",
"country_code": "US",
"telephone_number": "559-283-1099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1853 E Niles Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937202342",
"country_code": "US",
"telephone_number": "559-283-1099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVAS",
"first_name": "CHRISTIAN",
"middle_name": "EMILIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.