PHENG THAO (NPI# 1366682023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366682023 |
| Entity Type | Individual |
| Full Name | PHENG THAO |
| Practice Address |
2772 Martin Luther King Blvd. Fresno CA 93706 |
| Mailing Address |
10586 E North Ave Sanger CA 93657-9719 |
| Practice Telephone | 5592654800 |
| Practice Fax Number | 5592654823 |
| Mailing Telephone | 5595794151 |
| Mailing Fax Number | 5592654823 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | D7036245 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445242 | Pheng Thao | Home Health | 1227 N 9th St, Sheboygan, WI 53081-3407 | 2019-03-04 |
| 1730635277 | Pheng Thao | Counselor | 570 Asbury St, Suite 300, Saint Paul, MN 55104-1849 | 2016-08-25 |
| Street Address |
2772 MARTIN LUTHER KING BLVD. |
| City | FRESNO |
| State | CA |
| Zip Code | 93706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568590347 | West Care | Substance Abuse Rehabilitation Facility | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2007-03-01 |
| 1679004071 | Gale Asbury | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2017-03-27 |
| 1710270525 | Kathryn Tkac | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2011-05-26 |
| 1063741494 | Nona Hall | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-12-14 |
| 1073840633 | Jennifer Ann Hall | Counselor | 2772 Martin Luther King Blvd., 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-11-03 |
| 1326373887 | David Jermaine Perry II | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-10-16 |
| 1700011988 | Susan Carol Shaw | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-05-18 |
| 1699914457 | Carolyn Haudenschild | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-02-18 |
| 1194902577 | Raymond Nacho Gonzales | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706-2107 | 2008-01-28 |
| 1437336187 | Barbara Ellen Murray-hirahara | Case Manager/Care Coordinator | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2008-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| 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.