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PHENG THAO
NPI 1366682023
Counselor in Fresno, CA

Active since February 20, 2009
2772 MARTIN LUTHER KING BLVD., FRESNO, CA 93706(559) 265-4800(559) 265-4823 Get Directions Write a Review

NPPES record last updated: February 20, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pheng Thao NPPES

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

PHENG THAO (NPI 1366682023) is an individual counselor in Fresno, California, licensed in California (D7036245) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1366682023
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NamePHENG THAO
Location Address2772 MARTIN LUTHER KING BLVD.Fresno, CA 93706
Mailing Address10586 E North AveSanger, CA 93657-9719 · (559) 579-4151 · Fax (559) 265-4823
Phone(559) 265-4800
Fax(559) 265-4823
Sole ProprietorNo
Enumeration DateFebruary 20, 2009
✔ NPI 1366682023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · D7036245
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2772 MARTIN LUTHER KING BLVD., Fresno, CA 93706
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Other Providers at the Same Location NPPES 12

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

VICTORIA ELIZABETH TERZIAN
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
MS. VERTIA MAE KELLY
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
JANICE SALAS
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
HELEN FARRELL
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
MRS. JENNIFER MARIE PEREZ
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
MS. BARBARA ELLEN MURRAY-HIRAHARA
Case Manager/Care Coordinator
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
MR. RAYMOND NACHO GONZALES COUNSELOR
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Fresno County (559) 265-4800
MS. SUSAN CAROL SHAW
Counselor (Addiction (Substance Use Disorder))
2772 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 Pheng Thao's NPI number?

The NPI number for Pheng Thao is 1366682023. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Pheng Thao located?

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

What is Pheng Thao's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Pheng Thao was last updated on February 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.