Active NPI
Andrea Padilla Blanchard
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1831381276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 251S00000X
- Practice address
- 3122 N Millbrook Ave Ste a
Fresno, CA 93703-1458 - Phone
- (559) 225-9117
- Fax
- (559) 225-9174
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 251S00000X | CA | Primary |
Addresses
Primary practice location
3122 N Millbrook Ave Ste a
Fresno, CA 93703-1458
Mailing address
3122 N. Millbrook, Suite a
Fresno, CA 93703
Phone (559) 225-9117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497803845 | Other | CA | ID |
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 |
|---|---|---|---|
| 251S00000X | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1831381276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3122 N. MILLBROOK, SUITE A",
"city": "FRESNO",
"state": "CA",
"postal_code": "93703",
"telephone_number": "559-225-9117",
"fax_number": "559-225-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3122 N MILLBROOK AVE STE A",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031458",
"telephone_number": "559-225-9117",
"fax_number": "559-225-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "ANDREA",
"middle_name": "PADILLA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "251S00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID",
"identifier": "1497803845",
"state": "CA"
}
],
"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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.