JALISA JESSI VINSON (NPI# 1386173409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386173409 |
| Entity Type | Individual |
| Full Name | JALISA JESSI VINSON |
| Practice Address |
2550 W Clinton Ave Bldg W Fresno CA 93705-4206 |
| Practice Telephone | 5592647521 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2140 Merced St, Fresno, CA 93721 | 5598921128 | |
| 83 E Shaw Ave Ste 102, Fresno, CA 937107616 | (559) 226-0167 |
| Street Address |
2550 W CLINTON AVE BLDG W |
| City | FRESNO |
| State | CA |
| Zip Code | 93705-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477736130 | Pao Yang | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2007-12-17 |
| 1003427790 | Stephanie Silva | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-08-14 |
| 1972113371 | Jazmine A Rocha | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-07-31 |
| 1841813938 | Mental Health Systems, Inc. | Community/Behavioral Health | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-05-22 |
| 1982265526 | Daisy Zamora | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2019-06-25 |
| 1861909343 | Yolanda Amezola | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2018-01-05 |
| 1942657119 | Erick Magana | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2016-05-18 |
| 1487038832 | Kris Quibal | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2015-07-15 |
| 1932515145 | Alicia Austin-townsend | Marriage & Family Therapist | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2014-07-08 |
| 1740692540 | Domevlo Umoja | Licensed Vocational Nurse | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2014-05-28 |
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| 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 |
| 1730634635 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 2550 W Clinton Ave, Fresno, CA 93705 | 2016-08-20 |
| 1558747261 | Cameron Hilaire | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-08-04 |
| 1568858280 | Robin Lynn Ruby | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-04-09 |
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| 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.