GENESIS MARIE MENDEZ
NPI 1700435351
Peer Specialist in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since September 06, 2019

3433 W SHAW AVE STE 107, FRESNO, CA 93711(559) 476-2115 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2022, Sep 15, 2021, Sep 6, 2019 (3 updates tracked since 2019).

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About Genesis Marie Mendez NPPES

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

GENESIS MARIE MENDEZ (NPI 1700435351) is an individual peer specialist in Fresno, California, licensed in California (MPSS-QBRXMU) and active in the NPI registry since September 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700435351

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameGENESIS MARIE MENDEZ

Location Address3433 W SHAW AVE STE 107Fresno, CA 93711-3229

Mailing Address3433 W Shaw Ave Ste 102Fresno, CA 93711-3229 · (559) 558-4051 · Fax (866) 500-2186

Phone(559) 476-2115

Sole ProprietorNo

Enumeration DateSeptember 6, 2019

Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1700435351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-QBRXMU

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

3433 W SHAW AVE STE 107, Fresno, CA 93711

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