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MR. KEITH MCPHERSON ENNIS SUDC III-CS
NPI 1356714430
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since November 11, 2015
3636 N 1ST ST STE 135&154, FRESNO, CA 93726(559) 225-1464(844) 601-2973 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 17, 2018, May 23, 2018, Nov 11, 2015 (3 updates tracked since 2015).

About Mr. Keith Mcpherson Ennis Sudc Iii-cs NPPES

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

MR. KEITH MCPHERSON ENNIS SUDC III-CS (NPI 1356714430) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (6533) and active in the NPI registry since November 2015. He maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1356714430
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KEITH MCPHERSON ENNISCredential: SUDC III-CS
Location Address3636 N 1ST ST STE 135&154Fresno, CA 93726-6800
Mailing Address3636 N. First St. # 135Fresno, CA 93726 · (559) 225-1464 · Fax (559) 225-1693
Phone(559) 225-1464
Fax(844) 601-2973
Sole ProprietorNo
Enumeration DateNovember 11, 2015
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1356714430 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 · 6533
3636 N 1ST ST STE 135&154, Fresno, CA 93726
Open in Google Maps ↗

Secondary Practice Location 1

Location 11204 W Shaw Ave Ste 102Fresno, CA 93711-3706 · Phone (559) 940-2917

Other Providers at the Same Location NPPES 13

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

LIZBETH MELGOZA
Counselor (Addiction (Substance Use Disorder))
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
MRS. VERONICA MARQUEZ MIRANDA SUDCC
Counselor (Addiction (Substance Use Disorder))
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
AMY L RUSSO AMFT
Marriage & Family Therapist
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
ELIZABETH DE LA CRUZ
Counselor (Addiction (Substance Use Disorder))
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
OSCAR FLORES SUDRC # 14796
Counselor (Addiction (Substance Use Disorder))
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
BRITTANI ANNE FANCIULLO CAODC
Counselor (Addiction (Substance Use Disorder))
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
TURNING POINT OF CENTRAL CALIFORNIA INC.
Community/Behavioral Health
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464
MR. RONALD A EVANS
Counselor (Addiction (Substance Use Disorder))
3636 N 1ST ST STE 135&154
FRESNO, CA 93726
Fresno County (559) 225-1464

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 Keith Ennis's NPI number?

The NPI number for Keith Ennis is 1356714430. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Keith Ennis located?

Keith Ennis practices at 3636 N 1st St Ste 135&154, Fresno, CA 93726. The listed phone number is (559) 225-1464.

What is Keith Ennis'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 Keith Ennis was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.