Individual provider Active NPI

Imani Lynee Johnson

  • Day Training/Habilitation Specialist
  • Fresno, CA
National Provider Identifier
1821734013
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
258 N Blackstone Ave
Fresno, CA 93701-1913
Phone
(559) 274-0299
NPI assigned
May 10, 2022
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary
Community Health Worker 172V00000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

258 N Blackstone Ave
Fresno, CA 93701-1913

Mailing address

258 N Blackstone Ave
Fresno, CA 93701-1913

Other practice location 1

3636 N 1st St # 112&124
Fresno, CA 93726-6800
Phone (559) 274-0299

Other practice location 2

3636 N 1st St # 135&154
Fresno, CA 93726-6800
Phone (559) 274-0299

Other practice location 3

40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (559) 274-0299

Other practice location 4

121 Belmont Ave Ste 300
Mendota, CA 93640-8231
Phone (559) 274-0299

Other practice location 5

225 S. Academy Ave
Sanger, CA 93657
Phone (559) 274-0299

Other practice location 6

275 S Madera Ave Ste 302
Kerman, CA 93630-1401
Phone (559) 274-0299

Other practice location 7

3800 McCall Ave
Selma, CA 93662-2217
Phone (559) 274-0299

Other practice location 8

3636 N 1st St # 160&135
Fresno, CA 93726-6800
Phone (559) 274-0299

Other practice location 9

36618 Lassen Ave
Suite A
Huron, CA 93234
Phone (559) 274-0299

Other practice location 10

380 Coalinga Plz
Coalinga, CA 93210-1704
Phone (559) 274-0299

Other practice location 11

1311 11th St
Reedley, CA 93654-2926
Phone (559) 274-0299

Other practice location 12

3855 N West Ave
Fresno, CA 93705-2759
Phone (559) 274-0299

Other practice location 13

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 274-0299

Other practice location 14

3467 W Shaw Ave Ste 101
Fresno, CA 93711-3223
Phone (559) 274-0299

Other practice location 15

1690 W Shaw Ave
Fresno, CA 93711-3516
Phone (559) 274-0299

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

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point of Central California, Inc. Past Accepting new patients
Crestwood Behavioral Health, Inc. PastSince May 1, 2023 Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients
Fresno County Crestwood Fresno Bridge PastSince May 1, 2023 Accepting new patients

Organizations & group practices 5

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1821734013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011913",
            "telephone_number": "559-274-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 N 1st St # 112&124",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266800",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St # 135&154",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266800",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "CA",
            "postal_code": "936501239",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Belmont Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936408231",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 S. Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "93657",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 S Madera Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Kerman",
            "state": "CA",
            "postal_code": "936301401",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 McCall Ave",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622217",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St # 160&135",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266800",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36618 Lassen Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "CA",
            "postal_code": "93234",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Coalinga Plz",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932101704",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542926",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 N West Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937052759",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St Ste 162",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266869",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3467 W Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113223",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113516",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "IMANI",
        "middle_name": "LYNEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Jun 2, 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.

Verify at the official NPI Registry.