Active NPI
Felipe Jesus Coronel
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1790969129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCI09070315
- Practice address
- 539 N Van Ness Ave
Fresno, CA 93728-3419 - Phone
- (559) 266-9581
- NPI assigned
- Dec 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCI09070315 | CA | Primary |
Addresses
Primary practice location
539 N Van Ness Ave
Fresno, CA 93728-3419
Mailing address
539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 266-9581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCI03070315 | Other | CA | CCAPP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCI09070315 | 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": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1790969129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283419",
"telephone_number": "559-266-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283419",
"telephone_number": "559-266-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONEL",
"first_name": "FELIPE",
"middle_name": "JESUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-20",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCI09070315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "LCI03070315",
"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, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.