M KIVAUGHN SHELTON (NPI# 1063983336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063983336 |
| Entity Type | Individual |
| Full Name | M KIVAUGHN SHELTON |
| Credential | MSW |
| Practice Address |
539 N Van Ness Ave Fresno CA 93728-3419 |
| Practice Telephone | 5592669581 |
| Practice Fax Number | 5594980507 |
| Mailing Telephone | 5592669581 |
| Mailing Fax Number | 5594980507 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R8522 | CA | Behavioral Health & Social Service Providers |
| Street Address |
539 N VAN NESS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93728-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366580540 | Baart Behavioral Health Services, Inc | Clinic/Center | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2007-02-01 |
| 1801401989 | Priya Darshni | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2020-09-15 |
| 1255955407 | Laniah Lewis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2020-06-03 |
| 1841813482 | Candi Cortez | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2020-05-18 |
| 1104446012 | Nakia Murphy | Counselor | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2020-04-21 |
| 1710440227 | Janury Krem | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2019-04-11 |
| 1043776735 | Virginia Lisa Lopez | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2019-02-18 |
| 1174093587 | Veronica Marquez Miranda | Counselor | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2018-11-28 |
| 1164990370 | Sarah Jane Reed | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2018-11-06 |
| 1457829681 | Jagveer Kailay | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1750873717 | Focus Forward | Case Management | 732 N. Van Ness Ave, Fresno, CA 93728 | 2018-06-05 |
| 1811167927 | Rita Elizabeth Stevenson | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728 | 2008-03-04 |
| 1578784153 | Ann B. White | Psychologist | 938 N. Van Ness Avenue, Fresno, CA 93728 | 2007-05-01 |
| 1891912283 | B & B Management Inc. | Dentist | 1215 N. Del Mar Ave., Fresno, CA 93728 | 2007-04-19 |
| 1285858696 | Geoffrey Landon Smith | Marriage & Family Therapist | 1055 N. Van Ness, Suite I, Fresno, CA 93728 | 2007-04-13 |
| 1225152077 | Melva Robinson | Licensed Vocational Nurse | 539 N Van Ness, Fresno, CA 93728 | 2007-03-19 |
| 1508902131 | Lauro Samson So | Dentist | 1436 E Olive Ave, Fresno, CA 93728 | 2007-01-30 |
| 1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
| 1902130487 | Promesa Behavioral Health- Van Ness | Community Based Residential Treatment Facility, Mental Illness | 1027 N Van Ness Ave, Fresno, CA 93728 | 2009-09-30 |
| Find all providers in zip 93728 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| 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.