MAYA ANJANETTE BOHANNON
NPI 1194339457
Social Worker - Clinical in Fresno, CA

Active since September 03, 2020PECOS Enrolled
6051 N FRESNO ST STE 201, FRESNO, CA 93710(559) 248-8550 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2024, Jun 4, 2024, Mar 28, 2023 and 4 more (7 updates tracked since 2020).

About Maya Anjanette Bohannon NPPES

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

MAYA ANJANETTE BOHANNON (NPI 1194339457) is an individual clinical provider in Fresno, California, licensed in California (125561) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194339457
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYA ANJANETTE BOHANNON
Location Address6051 N FRESNO ST STE 201Fresno, CA 93710-5280
Mailing Address6051 N Fresno St Ste 201Fresno, CA 93710-5280
Sole ProprietorYes
Enumeration DateSeptember 3, 2020
Last NPPES UpdateSeptember 3, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1194339457 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 · 125561
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 ListedSocial WorkerTaxonomy 104100000X · License 97392 (CA)
6051 N FRESNO ST STE 201, Fresno, CA 93710

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Anjanette Bohannon 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.

Medicare Billing Reassignment

Medicare enrollment records show Maya Bohannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
2068 ORANGE TREE LN STE 216
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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 20

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

Day Training/Habilitation Specialist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Marriage & Family Therapist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Community Health Worker
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Day Training/Habilitation Specialist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Community/Behavioral Health
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Peer Specialist
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Community Health Worker
6051 N FRESNO ST STE 201
FRESNO, CA 93710
Case Manager/Care Coordinator
6051 N FRESNO ST STE 201
FRESNO, CA 93710

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 Maya Bohannon's NPI number?

The NPI number for Maya Bohannon is 1194339457. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Maya Bohannon located?

Maya Bohannon practices at 6051 N Fresno St Ste 201, Fresno, CA 93710. The listed phone number is (559) 248-8550.

What is Maya Bohannon's specialty?

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

Is Maya Bohannon enrolled in Medicare?

Yes. Maya Bohannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maya Bohannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maya Bohannon reassigns Medicare benefits to Spring To Autumn Family Counseling, Inc. (Redlands, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maya Bohannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maya Bohannon was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.