Active NPI
Dawson L O Janery Saephanh
- Professional Counselor
- Fresno, CA
National Provider Identifier
1962220202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC19820
- Practice address
- 3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229 - Phone
- (559) 374-3990
- NPI assigned
- Sep 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC19820 | CA | Primary |
Addresses
Primary practice location
3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
Mailing address
3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
Phone (559) 374-3990
Other practice location 1
4141 N Blackstone Ave
Fresno, CA 93726-3808
Phone (559) 493-0625
Other practice location 2
2416 W Shaw Ave Ste 114
Fresno, CA 93711-3303
Phone (559) 374-3990
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
| License | State | Type | Specialty |
|---|---|---|---|
| APCC19820 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RH Community Builders LP | Current | Accepting new patients | |
| The Fresno Center | Past | Accepting new patients | |
| The Fresno Center | Past | Accepting new patients | |
| RH Community Builders LP. | Past | Accepting new patients |
Locations
4141 N Blackstone Ave
Fresno, CA 93726
Phone (559) 579-1744
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Fresno, CA
- NPI 1659061448
-
- Case Management Agency
- Fresno, CA
- NPI 1710649710
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1174710651
-
- Psychiatry Physician
- Fresno, CA
- NPI 1437347721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1962220202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-374-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 W SHAW AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113229",
"telephone_number": "559-374-3990"
}
],
"practiceLocations": [
{
"address_1": "4141 N Blackstone Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937263808",
"country_code": "US",
"telephone_number": "559-493-0625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2416 W Shaw Ave Ste 114",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937113303",
"country_code": "US",
"telephone_number": "559-374-3990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAEPHANH",
"first_name": "DAWSON",
"middle_name": "L O JANERY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-26",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC19820",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.