Individual provider Active NPI

Ciera Nelson

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1881076149
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
7216 Issued in CA
Practice address
2550 W. Clinton Ave
Building B, #128-138
Fresno, CA 93705-1458
Phone
(559) 225-9117
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 7216 CA Primary

Addresses

Primary practice location

2550 W. Clinton Ave
Building B, #128-138
Fresno, CA 93705-1458

Mailing address

2550 W. Clinton Ave
Building B, #128-138
Fresno, CA 93705-1458
Phone (559) 225-9117

Other practice location 1

3122 N Millbrook Ave Ste B
Fresno, CA 93703-1458
Phone (559) 225-9117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnelson@mhsinc.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1881076149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W. CLINTON AVE",
            "address_2": "BUILDING B, #128-138",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937051458",
            "telephone_number": "559-225-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W. CLINTON AVE",
            "address_2": "BUILDING B, #128-138",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937051458",
            "telephone_number": "559-225-9117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3122 N Millbrook Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031458",
            "country_code": "US",
            "telephone_number": "559-225-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CIERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "7216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnelson@mhsinc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2550 W. Clinton Ave",
            "address_2": "Building B, #128-138",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937051458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 22, 2021; 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.