XAINYAVONG VANG
NPI 1699397596
Counselor - Professional in Fresno, CA
About Xainyavong Vang NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
XAINYAVONG VANG (NPI 1699397596) is an individual professional provider in Fresno, California, licensed in California (LPCC16877) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Xainyavong Vang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Xainyavong Vang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93706
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Xainyavong Vang's NPI number?
The NPI number for Xainyavong Vang is 1699397596. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Xainyavong Vang located?
Xainyavong Vang practices at 412 F St, Fresno, CA 93706. The listed phone number is (559) 498-6689.
What is Xainyavong Vang's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Xainyavong Vang enrolled in Medicare?
Yes. Xainyavong Vang is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Xainyavong Vang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Xainyavong Vang reassigns Medicare benefits to Poverello House (Fresno, 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 Xainyavong Vang'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 Xainyavong Vang was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Xainyavong Vang · NPI 1699397596
Professional provider in Fresno, California. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1699397596 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC16877 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 412 F ST, Fresno, CA 93706-3409
- **Phone:** (559) 498-6689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Poverello House (NPI 1144809161, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699397596) · Data from the CMS NPPES public registry.