Raquel Irene Tirado, CADC-CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C12741214 Issued in CA

Practice address

2212 N Winery Ave Ste 122
Fresno, CA 93703-2896

Phone

(559) 803-1298

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1891818670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E HERNDON AVE APT 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203149",
            "telephone_number": "559-803-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 N WINERY AVE STE 122",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032896",
            "telephone_number": "559-803-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 S Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937022908",
            "country_code": "US",
            "telephone_number": "559-803-1298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "RAQUEL",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C12741214",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Tiongson, RN
• Arthur Tipton II, RN
• Jay Isaac Tipton, CRNA
• Hazel Elaine Tirado
• Itzamary Ximena Tirado, MSW
• Kimberly N Tirapelle, RD
• Matthew Tirtajaya, EDS
• Cesar Tiscareno, PPS
• Melanie Tisdale
• Esmeralda Tista

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.