Active NPI
Advancing Independence, Inc
- Children's Substance Abuse Rehabilitation Facility
- Fresno, CA
National Provider Identifier
1801316252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- Legal business name
- ADVANCING INDEPENDENCE, INC
- Practice address
- 4630 W Jacquelyn Ave Ste 116
Fresno, CA 93722-6431 - Phone
- (559) 275-2324
- Fax
- (559) 275-2329
- NPI assigned
- Jun 26, 2017
- Organization subpart
- Yes
- Parent organization
- FAMILY OPTION, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason James Mason, LGHA
- Title
- Director of Programs
- Phone
- (559) 558-2875
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | CA | Primary |
Addresses
Primary practice location
4630 W Jacquelyn Ave Ste 116
Fresno, CA 93722-6431
Mailing address
4630 W Jacquelyn Ave Ste 116
Fresno, CA 93722-6431
Phone (559) 275-2324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801316252 | Medicaid | CA |
Other names 2
- Advancing Independence, Inc
- Family Options
National Provider Directory
National Provider Directory- Part of
- Advancing Independence Inc
Locations
4630 W Jacquelyn Ave
Ste 116
Fresno, CA 93722
Phone (559) 275-2324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
- NPI 1386949519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1801316252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 W JACQUELYN AVE STE 116",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226431",
"telephone_number": "559-275-2324",
"fax_number": "559-275-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 W JACQUELYN AVE STE 116",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226431",
"telephone_number": "559-275-2324",
"fax_number": "559-275-2329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCING INDEPENDENCE, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY OPTION, INC",
"enumeration_date": "2017-06-26",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
"authorized_official_telephone_number": "559-558-2875",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LGHA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801316252",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advancing Independence, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Options",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.