JEAN C REYES (NPI# 1013165893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013165893 |
| Entity Type | Individual |
| Full Name | JEAN C REYES |
| Practice Address |
2550 W Clinton Ave Fresno CA 93705-4201 |
| Mailing Address |
6237 W Minarets Ave Fresno CA 93722-2848 |
| Practice Telephone | 5592647521 |
| Mailing Telephone | 8057813535 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2011-02-07 |
| NPI Deactivation Date | 08/19/2010 |
| NPI Reactivation Date | 2011-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991628 | Jean Rodriguez Reyes | Behavior Technician | 5974 Fashion Point Dr Ste 100, South Ogden, UT 84403-4840 | 2017-06-12 |
| 1114374907 | Jean Annette Reyes | Counselor | 1790 W 11th Ave, Eugene, OR 97402-3758 | 2016-05-21 |
| Street Address |
2550 W CLINTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93705-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578522462 | Doris T Tan | Psychiatry & Neurology | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2006-03-21 |
| 1174133680 | Norageen Ashlee Caballero | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-08-10 |
| 1801405741 | Kierra Shaunte Gordon-smith | Marriage & Family Therapist | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-07-27 |
| 1770101313 | David Ruiz | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-07-09 |
| 1023647054 | Adriana Gutierrez | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-04-02 |
| 1811537830 | Destiny Lee Vassar | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4206 | 2020-01-07 |
| 1528605037 | Angelita Martinez | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-12-03 |
| 1235775560 | Yvonne Callaway | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-11-21 |
| 1194361410 | Nicole Lea Carl | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-11-21 |
| 1508408204 | Heather Nicole Stuckey | Counselor | 2550 W Clinton Ave, Fresno, CA 93705-4201 | 2019-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295683 | Deja Marie Velasquez | Counselor | 2772 S. Martin Luther King Jr. Blvd., Fresno, CA 93705 | 2018-11-28 |
| 1952800344 | Maria Del Rosario Marin | Counselor | 2550 W. Clinton Ave., Fresno, CA 93705 | 2018-02-12 |
| 1326293978 | Sueann Vial | Marriage & Family Therapist | 4545 N. West Ave, Fresno, CA 93705 | 2008-11-24 |
| 1396227757 | Raul Prado Jr. | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2018-09-02 |
| 1538645353 | Amabelle Shayeghi Marquez | Dentist | 1255 W Shields Ave, Fresno, CA 93705 | 2018-07-15 |
| 1114443165 | Melissa De Benedetto | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-08-21 |
| 1033630421 | Lorena Soledad Dominguez | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-07-06 |
| 1023370350 | Stacie A Baum | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2012-06-12 |
| 1194019422 | John David Kampschmidt | Nurse Practitioner | 199 W Shields Ave, Fresno, CA 93705 | 2011-06-03 |
| 1548554165 | Fresno County Department of Behavioral Health | Counselor | 4441 E Kings Canyon Rd, # 317, Fresno, CA 93705 | 2011-05-31 |
| Find all providers in zip 93705 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.