Active NPI
Jessica L Criner
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1992942114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 140356
- Practice address
- 7111 N Fresno St
Fresno, CA 93720-2965 - Phone
- (559) 232-2375
- NPI assigned
- Jan 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 140356 | CA | Primary |
Addresses
Primary practice location
7111 N Fresno St
Fresno, CA 93720-2965
Mailing address
764 P St Ste 23
Fresno, CA 93721-2744
Phone (559) 772-4677
Other practice location 1
7080 N Marks Ave Ste 104
Fresno, CA 93711-0288
Phone (559) 248-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1604 E Emerald Ave
Fresno, CA 93720-4236
7760 N Gregory Ave
Fresno, CA 93722-2281
PO Box
Los Angeles, CA 90088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pain Management Medical Group, Inc. | Current | Accepting new patients |
Locations
7111 N Fresno St
Ste 100
Fresno, CA 93720
Phone (559) 878-5080
Organizations & group practices 1
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Walnut Creek, CA
- NPI 1922198779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1992942114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 P ST STE 23",
"city": "FRESNO",
"state": "CA",
"postal_code": "937212744",
"telephone_number": "559-772-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202965",
"telephone_number": "559-232-2375"
}
],
"practiceLocations": [
{
"address_1": "7080 N Marks Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937110288",
"country_code": "US",
"telephone_number": "559-248-8550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRINER",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-09",
"last_updated": "2024-02-26",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "140356",
"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 Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.