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XAINYAVONG VANG
NPI 1699397596
Counselor - Professional in Fresno, CA

Active since May 13, 2020PECOS Enrolled

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Aug 15, 2024, Aug 29, 2022 and 1 more (4 updates tracked since 2020).

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

NPI1699397596
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameXAINYAVONG VANG
Location Address412 F STFresno, CA 93706-3409
Mailing Address412 F StFresno, CA 93706-3409 · (559) 288-2112
Phone(559) 498-6689
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 13, 2020
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1699397596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · LPCC16877✔ Licensed in CA · 16877
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC7454 (CA), 7454 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License LPCC16877 (CA)
412 F ST, Fresno, CA 93706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xainyavong Vang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163944513
PECOS Enrollment IDI20260409000389
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.

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.

POVERELLO HOUSE
Counselor (Professional)
412 F ST
FRESNO, CA 93706
Fresno County (559) 498-6988
NATHANIEL ALON SCHENCK
Case Manager/Care Coordinator
412 F ST
FRESNO, CA 93706
Fresno County (559) 498-6988
DR. JOHN WILLIAM LOTT PSY.D., MFT
Marriage & Family Therapist
412 F ST
FRESNO, CA 93706
Fresno County (559) 498-6988
MR. SOKDY SIPHONGSAY
Marriage & Family Therapist
412 F ST
FRESNO, CA 93706
Fresno County (559) 498-6988
KATHLEEN ILAINE MURPHY LMFT
Marriage & Family Therapist
412 F ST
FRESNO, CA 93706
Fresno County (559) 786-7802
GENARO SAUCEDA JR.
Social Worker (Clinical)
412 F ST
FRESNO, CA 93706
Fresno County (559) 498-6988
ADRIAN JONES
Marriage & Family Therapist
412 F ST
FRESNO, CA 93706
Fresno County (559) 498-6988

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.

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 13 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.