Individual provider Active NPI

Mymoua Xiong

  • Social Worker
  • Fresno, CA
National Provider Identifier
1790403004
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117838 Issued in CA
Practice address
4781 E Gettysburg Ave Ste 118
Fresno, CA 93726-1814
Phone
(626) 741-7180
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 117838 CA Primary

Addresses

Primary practice location

4781 E Gettysburg Ave Ste 118
Fresno, CA 93726-1814

Mailing address

4781 E Gettysburg Ave Ste 118
Fresno, CA 93726-1814

Other practice location 1

1911 N Fine Ave
Fresno, CA 93727-1510
Phone (626) 741-7180

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

State licenses

LicenseStateTypeSpecialty
117838CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Fresno Center Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Inspire Psychological Services Inc PastSince Oct 29, 2023 Accepting new patients
The Fresno Center PastSince Sep 1, 2022 Accepting new patients
The Fresno Center PastSince Sep 1, 2022 Accepting new patients

Locations

4871 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 390-0963

4879 E Kings Canyon Rd
Fresno, CA 93727
Phone 5592558395 ext. 242

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1790403004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 E GETTYSBURG AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937261814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 E GETTYSBURG AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937261814",
            "telephone_number": "626-741-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 N Fine Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271510",
            "country_code": "US",
            "telephone_number": "626-741-7180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "MYMOUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "117838",
            "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 23, 2026; 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.