Individual provider Active NPI

Daisy Cardenas

  • Counselor
  • Fresno, CA
National Provider Identifier
1861751281
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3855 N West Ave
Fresno, CA 93705
Phone
(559) 334-6433
NPI assigned
May 4, 2012
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12868-R CA

Addresses

Primary practice location

3855 N West Ave
Fresno, CA 93705

Mailing address

3855 N West Ave
Fresno, CA 93705-2759
Phone (559) 334-6433

Other practice location 1

1646 S Court St
Visalia, CA 93277-4962
Phone (559) 625-8890

Other practice location 2

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 225-1464

Other practice location 3

258 N Blackstone Ave
Fresno, CA 93701-1913
Phone (559) 274-0299

Other practice location 4

40 E Minarets Ave
Fresno, CA 93650-1239
Phone (559) 436-0482

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
12868-RCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1861751281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937052759",
            "telephone_number": "559-334-6433",
            "fax_number": "559-713-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93705",
            "telephone_number": "559-334-6433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1646 S Court St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774962",
            "country_code": "US",
            "telephone_number": "559-625-8890",
            "fax_number": "559-733-5053",
            "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": "559-225-1464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011913",
            "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": "Fresno",
            "state": "CA",
            "postal_code": "936501239",
            "country_code": "US",
            "telephone_number": "559-436-0482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "DAISY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "12868-R",
            "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 Jul 8, 2022; 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.