Individual provider Active NPI

Esmeralda Denise Felix, SUDRC #14510

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1841905973
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14510 Issued in CA
Practice address
611 E Belmont Ave
Fresno, CA 93701-1502
Phone
(559) 237-3520
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14510 CA Primary

Addresses

Primary practice location

611 E Belmont Ave
Fresno, CA 93701-1502

Mailing address

611 E Belmont Ave
Fresno, CA 93701-1502
Phone (559) 237-3520

Other practice location 1

2772 Martin Luther King Jr. Blvd.
Fresno, CA 93706
Phone (559) 265-4800 ext. 20218

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
14510CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1841905973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BELMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011502",
            "telephone_number": "559-237-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E BELMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011502",
            "telephone_number": "559-237-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2772 Martin Luther King Jr. Blvd.",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93706",
            "country_code": "US",
            "telephone_number": "559-265-4800 x20218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "ESMERALDA",
        "middle_name": "DENISE",
        "credential": "SUDRC #14510",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14510",
            "primary": true
        }
    ],
    "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 24, 2023; 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.