ETROY NELSON (NPI# 1245484039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245484039 |
| Entity Type | Individual |
| Full Name | ETROY NELSON |
| Practice Address |
1570 N Wishon Ave Fresno CA 93728-1831 |
| Practice Telephone | 5592370072 |
| Mailing Telephone | 5592370072 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1570 N WISHON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93728-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215182506 | Life Center of America | Community/Behavioral Health | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-12-01 |
| 1295989663 | Jonathan Johnson | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-11 |
| 1053565770 | Carrie Mcneal | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-07 |
| 1053565846 | Tara Trevino | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-06 |
| 1598919383 | Patricia Matthews | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-06 |
| 1861646655 | Blia Lee | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-06 |
| 1013161801 | Phillip So | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-06 |
| 1023262813 | Anna Juarez | Counselor | 1570 N Wishon Ave, Fresno, CA 93728-1831 | 2008-11-06 |
| 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 |
| 1922467083 | Karie Jean Follis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728 | 2016-02-17 |
| 1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
| Find all providers in zip 93728 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592621 | Marcus Zachary, D.o., P.C. | Counselor | 7111 N Fresno St Ste 200, Fresno, CA 93720-2959 | 2020-09-09 |
| 1871110932 | The Fresno Center | Counselor | 4891 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-07-06 |
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1679123723 | Sandy Ounmano | Counselor | 4855 E King Cyn Rd, Fresno, CA 93727-3811 | 2019-09-19 |
| 1609422815 | Alicia Becton | Counselor | 7110 W San Bruno Ave, Fresno, CA 93723-4069 | 2019-08-13 |
| 1053963645 | Stephanie Elizabeth Trevino | Counselor | 5162 E Braly Ave, Fresno, CA 93727-5906 | 2019-07-12 |
| 1386204691 | Giovanni Ismael Arreaga | Counselor | 4411 E Kings Canyon Rd # 310, Fresno, CA 93702-3604 | 2019-06-18 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1235607409 | Sandra Elizabeth Valle | Counselor | 496 South Barton Avenue, Fresno, CA 93750-0001 | 2018-11-06 |
| 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.