Active NPI
Arlene Mirenda Stovall
- Mental Health Counselor
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW91499
- Practice address
- 3267 W Rialto Ave
Fresno, CA 93722-4138 - Phone
- (559) 255-8519
- NPI assigned
- May 27, 2020
- Last updated
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW91499 | CA | MD | Mental Health Counselor |
| 159098 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Group Homes, Inc. | Current | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | Accepting new patients | |
| Quality Group Homes, Inc. | Past | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1023657129
-
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1063051167
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1255970356
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1265072060
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1447899786
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1457990541
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1801436704
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1851930952
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1992345797
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.