Organization Active NPI

Advancing Independence, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1801316252
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Jason James Mason, LGHANPI 1386949519
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1801316252MedicaidCA

Other names 2

  • Advancing Independence, Inc Doing business as
  • Family Options Doing business as

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.

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.

Verify at the official NPI Registry.