Active NPI
Sabrina Syvankham, LPCC
- Professional Counselor
- Fresno, CA
National Provider Identifier
1780201954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 21787
- Practice address
- 7265 N 1St St Ste 103
Fresno, CA 93720-2956 - Phone
- (559) 426-8619
- NPI assigned
- Jul 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 21787 | CA | Primary |
Addresses
Primary practice location
7265 N 1St St Ste 103
Fresno, CA 93720-2956
Mailing address
PO Box 25533
Fresno, CA 93729-5533
Other practice location 1
265 E River Park Cir Ste 110
Fresno, CA 93720-1576
Phone (559) 220-3247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260414002365 | CA | Practitioner - Mental Health Counselor | 6103392543 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
155 E Shaw Ave
Suite 101
Fresno, CA 93710-7619
PO Box
Suite 712260
Salt Lake City, UT 84171-2260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21787 | 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": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1780201954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25533",
"city": "FRESNO",
"state": "CA",
"postal_code": "937295533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7265 N 1ST ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202956",
"telephone_number": "559-426-8619"
}
],
"practiceLocations": [
{
"address_1": "265 E River Park Cir Ste 110",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937201576",
"country_code": "US",
"telephone_number": "559-220-3247",
"fax_number": "559-389-7588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYVANKHAM",
"first_name": "SABRINA",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "21787",
"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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.