Individual provider Active NPI

Alicia Herrick

  • Mental Health Counselor
  • Fresno, CA
National Provider Identifier
1922574102
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
258 N Blackstone Ave
Fresno, CA 93701
Phone
(559) 274-0299
Fax
(844) 606-7326
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

258 N Blackstone Ave
Fresno, CA 93701

Mailing address

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

Other practice location 1

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 476-2166

Other practice location 2

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 476-2166

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1922574102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011913",
            "telephone_number": "559-274-0299",
            "fax_number": "844-606-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-274-0299",
            "fax_number": "844-606-7326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 N 1st St Ste 162",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266869",
            "country_code": "US",
            "telephone_number": "559-476-2166",
            "fax_number": "844-563-6035",
            "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": "559-476-2166",
            "fax_number": "844-563-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 11, 2019; 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.