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JADEN ELIJAH CHAMPION
NPI 1003336397
Social Worker - Clinical in Fresno, CA

Active since June 27, 2017PECOS Enrolled
4785 N FIRST ST, FRESNO, CA 93726(559) 448-4879 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2022, May 25, 2021, Mar 25, 2020 and 2 more (5 updates tracked since 2017).

About Jaden Elijah Champion NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADEN ELIJAH CHAMPION (NPI 1003336397) is an individual clinical provider in Fresno, California, licensed in California (108234) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1003336397
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJADEN ELIJAH CHAMPION
Location Address4785 N FIRST STFresno, CA 93726
Mailing Address4785 N First StFresno, CA 93726 · (559) 448-4879
Phone(559) 448-4879
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 19, 20225 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1003336397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 108234
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 91813 (CA)
4785 N FIRST ST, Fresno, CA 93726
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Secondary Practice Locations 5

Location 11255 Kendall RoadSan Luis Obispo, CA 93401 · Phone (805) 781-3535
Location 22002 N Fine Ave Ste 101Fresno, CA 93727-1511 · Phone (559) 457-6975 · Fax (559) 457-5896
Location 34441 E Kings Canyon RdFresno, CA 93702-3604 · Phone (559) 600-9171
Location 43133 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 600-9180
Location 52934 N Fresno StFresno, CA 93703-1123 · Phone (559) 549-6697

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaden Elijah Champion is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL A PERRICONE RRT
Respiratory Therapist, Registered
4785 N FIRST ST
FRESNO, CA 93726
Fresno County (559) 448-2302
DR. PATRICK OLUMUYIWA SODEKE MD
Pediatrics
4785 N FIRST ST, KAISER PERMANENTE FIRST STREET MEDICAL OFFICE
FRESNO, CA 93726
Fresno County (559) 448-4555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaden Champion's NPI number?

The NPI number for Jaden Champion is 1003336397. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Jaden Champion located?

Jaden Champion practices at 4785 N First St, Fresno, CA 93726. The listed phone number is (559) 448-4879.

What is Jaden Champion's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jaden Champion enrolled in Medicare?

Yes. Jaden Champion is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaden Champion was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.