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PHYLLIS RENEE CARRA CATC NO. 236831 I
NPI 1215407549
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since November 29, 2018
2772 S. MARTIN LUTHER KING BLVD, FRESNO, CA 93706(559) 265-4800(559) 265-4823 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2024, Dec 16, 2023, Nov 2, 2023 and 1 more (4 updates tracked since 2018).

About Phyllis Renee Carra Catc No. 236831 I NPPES

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

PHYLLIS RENEE CARRA CATC NO. 236831 I (NPI 1215407549) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (236831) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1215407549
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHYLLIS RENEE CARRACredential: CATC NO. 236831 I
Location Address2772 S. MARTIN LUTHER KING BLVDFresno, CA 93706
Mailing Address2772 S. Martin Luther King BlvdFresno, CA 93706 · (559) 265-4800 · Fax (559) 265-4823
Phone(559) 265-4800
Fax(559) 265-4823
Sole ProprietorNo
Enumeration DateNovember 29, 2018
Last NPPES UpdateJanuary 2, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1215407549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 236831
2772 S. MARTIN LUTHER KING BLVD, Fresno, CA 93706
Open in Google Maps ↗

Other Identifiers 1

Medicaid1184991291CA

Other Providers at the Same Location NPPES 5

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

MR. RON MABRY
Counselor (Addiction (Substance Use Disorder))
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Fresno County (559) 265-4800
AUGUSTINE RENE ALONZO II
Counselor (Addiction (Substance Use Disorder))
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Fresno County (559) 981-8904
JAMES MARTIN III
Counselor (Addiction (Substance Use Disorder))
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Fresno County (559) 265-4800
MRS. ANGEL MARIE TINDALL
Counselor (Addiction (Substance Use Disorder))
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Fresno County (559) 265-4800
JEFFERY STORMS
Counselor (Addiction (Substance Use Disorder))
2772 S. MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Fresno County (559) 265-4800

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 Phyllis Carra's NPI number?

The NPI number for Phyllis Carra is 1215407549. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Phyllis Carra located?

Phyllis Carra practices at 2772 S. Martin Luther King Blvd, Fresno, CA 93706. The listed phone number is (559) 265-4800.

What is Phyllis Carra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phyllis Carra was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.