SHANEKKA NICOLE BROWN-JOHNSON (NPI# 1528629623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528629623 |
| Entity Type | Individual |
| Full Name | SHANEKKA NICOLE BROWN-JOHNSON |
| Practice Address |
2540 W Shaw Ln Ste 107 Fresno CA 93711-2700 |
| Mailing Address |
4670 W Swift Ave Fresno CA 93722-4339 |
| Practice Telephone | 5592567622 |
| Mailing Telephone | 5592869964 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT110512 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4928 E Clinton Way Ste 108, Fresno, CA 937271526 | 5592526844 | 5592521121 |
| Street Address |
2540 W SHAW LN STE 107 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539633 | Michelle Kristen Howell | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2007-03-26 |
| 1770195042 | Justin Daniel Alvarado | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2020-08-18 |
| 1396355707 | Karina Martinez | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2020-08-01 |
| 1215547690 | Mary Ann Sanchez | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2020-07-31 |
| 1588294987 | Michael Anthony Difalco | Marriage & Family Therapist | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2020-01-24 |
| 1720644610 | Diamantina Lock | Marriage & Family Therapist | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2019-05-15 |
| 1982162731 | Kings View Corporation | Community/Behavioral Health | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2019-03-11 |
| 1164915302 | Derek James Nunn | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2018-06-12 |
| 1760985808 | Alexis Renee Mcfarlin | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711 | 2018-03-15 |
| 1578070744 | Jagmeet Dhaliwal | Counselor | 2540 W Shaw Ln Ste 107, Fresno, CA 93711-2700 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540141 | Nina Coffin | Marriage & Family Therapist | 5151 N Palm Ave Ste 720, Fresno, CA 93704-2221 | 2020-08-29 |
| 1205464468 | Anahi Arias Aranda | Marriage & Family Therapist | 3645 W Shaw Ave # 101, Fresno, CA 93711-3206 | 2020-03-31 |
| 1396396800 | Sarah Settle | Marriage & Family Therapist | 1744 E Nees Ave, Fresno, CA 93720-2301 | 2019-09-25 |
| 1285192096 | Antionette Brookins & Associates, Corp | Marriage & Family Therapist | 5275 N 1st St, Fresno, CA 93710-7007 | 2019-03-11 |
| 1285107771 | Timothy Childs | Marriage & Family Therapist | 4928 E Clinton Way #108, Fresno, CA 93727-1526 | 2019-01-07 |
| 1922578574 | Dalise N Smith | Marriage & Family Therapist | 6224 W Belmont Ave, Fresno, CA 93723-9556 | 2018-11-27 |
| 1265908560 | Diana Hernandez-zamarripa | Marriage & Family Therapist | 1350 Van Ness Ave, Fresno, CA 93721-1714 | 2018-10-15 |
| 1093296279 | Emma Shaljyan | Marriage & Family Therapist | 2025 E Dakota Ave Ste 200, Fresno, CA 93726-4804 | 2018-08-24 |
| 1063993756 | Destination.hope Counseling & Enrichment Center | Marriage & Family Therapist | 5756 N Marks Ave Ste 156, Fresno, CA 93711-2171 | 2018-08-22 |
| 1760970412 | Ariel A Floriano | Marriage & Family Therapist | 2002 N Fine Ave Ste 101, Fresno, CA 93727-1511 | 2018-04-27 |
| 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.