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AMANDA JOANN CARLSON
NPI 1043021074
Peer Specialist in Fresno, CA

Active since January 17, 2025
2549 W SHAW AVE, FRESNO, CA 93711(559) 579-1744 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Feb 27, 2025 (2 updates tracked since 2025).

About Amanda Joann Carlson NPPES

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

AMANDA JOANN CARLSON (NPI 1043021074) is an individual peer specialist in Fresno, California and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1043021074
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA JOANN CARLSON
Location Address2549 W SHAW AVEFresno, CA 93711-3308
Mailing Address2549 W Shaw AveFresno, CA 93711-3308
Phone(559) 579-1744
Sole ProprietorNo
Enumeration DateJanuary 17, 2025
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1043021074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2549 W SHAW AVE, Fresno, CA 93711
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Other Providers at the Same Location NPPES 20

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

KATEE ALLISON WHEATON
Social Worker
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
ANDREA MARIE VERRETTE
Social Worker
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 217-9496
RACHEL MORGAN STANTON
Community Health Worker
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
TRACY LYNN JORDAN
Peer Specialist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
SHWETHA RAVINDRANATH KATTA
Psychiatry & Neurology (Psychiatry)
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (516) 304-6808
DELORES JEAN AGUIRRE BS
Day Training/Habilitation Specialist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 290-6111
LILIANA CAMARILLO
Marriage & Family Therapist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
SEAN ROBERT BENGE
Peer Specialist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521

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 Amanda Carlson's NPI number?

The NPI number for Amanda Carlson is 1043021074. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Amanda Carlson located?

Amanda Carlson practices at 2549 W Shaw Ave, Fresno, CA 93711. The listed phone number is (559) 579-1744.

What is Amanda Carlson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Carlson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.