Individual provider Active NPI

Arlene Mirenda Stovall

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1821611773
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW91499 Issued in CA
Practice address
3267 W Rialto Ave
Fresno, CA 93722-4138
Phone
(559) 255-8519
NPI assigned
May 27, 2020
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X ASW91499 CA Primary
Clinical Social Worker 1041C0700X 159098 CA

Addresses

Primary practice location

3267 W Rialto Ave
Fresno, CA 93722-4138

Mailing address

3267 W Rialto Ave
Fresno, CA 93722-4138
Phone (559) 255-8519

Other practice location 1

320 E Warner Ave
Fresno, CA 93710-3711
Phone (559) 255-8519

Other practice location 2

1105 E Yale Ave
Fresno, CA 93704-6238
Phone (559) 255-8519

Other practice location 3

2216 E Cambridge Ave
Fresno, CA 93703-2123
Phone (559) 255-8519

Other practice location 4

4862 E Clinton Ave
Fresno, CA 93703-2873
Phone (559) 255-8519

Other practice location 5

3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 255-8519

Other practice location 6

6250 N Millbrook Ave
Fresno, CA 93710-5620
Phone (559) 255-8519

Other practice location 7

4165 E Perrin Rd
Clovis, CA 93619-9118

Other practice location 8

4165 E Perrin Rd
Clovis, CA 93619-9118
Phone (559) 255-8519

Other practice location 9

6443 E Sample
Fresno, CA 93710
Phone (559) 255-8519

Other practice location 10

4928 E Clinton Way
Fresno, CA 93727-1526
Phone (559) 252-6844

Other practice location 11

643 E Sample Ave
Fresno, CA 93710-5428
Phone (559) 252-2204

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
ASW91499CAMDMental Health Counselor
159098CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Group Homes, Inc. CurrentSince Jun 21, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 5, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1821611773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3267 W RIALTO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224138",
            "telephone_number": "559-255-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 W RIALTO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224138",
            "telephone_number": "559-255-8519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937103711",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937046238",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032123",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4862 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032873",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105620",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4165 E Perrin Rd",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199118",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4165 E Perrin Rd",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199118",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6443 E Sample",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93710",
            "country_code": "US",
            "telephone_number": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4928 E Clinton Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271526",
            "country_code": "US",
            "telephone_number": "559-252-6844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 E Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105428",
            "country_code": "US",
            "telephone_number": "559-252-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "ARLENE",
        "middle_name": "MIRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW91499",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "159098",
            "primary": false
        }
    ],
    "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 Aug 7, 2020; 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.