Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215394499 Individual Practitioner Male Practitioner

Nickolas Fredrick Persons , LPCC #

Counselor - Professional • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Nickolas Persons, LPCC # is a registered healthcare professional specializing in Counselor - Professional in Fresno, CA. Practice services are available at 1553 SANTA CLARA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1553 Santa Clara St

Fresno, CA 937063447

Telephone 5595381230
Associated Practice Facility / Clinic
🏢 Exodus Recovery, Inc. Facility NPI 1467181537

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.4 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
111 Specialists

Practicing in Fresno, CA (4040 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CA 14273

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License CA 14273

Definition to come...

Secondary Practice Locations

524 S Trinity St

Fresno, CA 937061873

Phone: 5595381230

4041 Plaza Dr W

Fresno, CA 937021342

Phone: 5595381230

784 W Holland Ave

Clovis, CA 936124800

Phone: 5595381230

1828 Broadway St

Fresno, CA 937211008

Phone: 5595381230

205 N Blackstone Ave

Fresno, CA 937011939

Phone: 5595381230

6234 E Yale Ave

Fresno, CA 937271541

Phone: 5599771001

130 W Barstow Ave

Fresno, CA 937042156

Phone: 5595381230

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bianca Bustos

Counselor - Mental Health

NPI 1053893016
James Willis

Registered Nurse - Psychiatric/Mental Health

NPI 1063362408
Kassandra Delatorre

Day Training/Habilitation Specialist

NPI 1093366353
Mayra Chavez

Community Health Worker

NPI 1114636644
Mercedes Cavazos

Community Health Worker

NPI 1144092040
NPI 1144988486

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 12, 2023

Registered at 1553 SANTA CLARA ST, FRESNO, CA 937063447 (Tel: 5595381230)

📍
Updated Practice Location July 26, 2023

Registered at 6234 E YALE AVE, FRESNO, CA 937271541 (Tel: 5599771001)

📍
Updated Business Mailing Address July 26, 2023

Registered at 4460 W SHAW AVE # 738, FRESNO, CA 937226210 (Tel: 5599771001)

👤
Provider Name / Credentials Updated July 26, 2023

Recorded as NICKOLAS PERSONS, LPCC #14273

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2023

Counselor (License #14273 in CA)

📍
Updated Practice Location June 15, 2022

Registered at 2550 W CLINTON AVE, BLDG. A SUITE 116, FRESNO, CA 937054201 (Tel: 5592647521)

📍
Updated Practice Location February 04, 2019

Registered at 2550 W CLINTON AVE, FRESNO, CA 937054201 (Tel: 5592647521)

👤
Provider Name / Credentials Updated February 04, 2019

Recorded as NICKOLAS PERSONS, APCC #4131

NPI Profile Active January 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2016

Registered at 3707 E SHIELDS AVE, FRESNO, CA 937267029 (Tel: 5592299040)

📍
Updated Business Mailing Address January 19, 2016

Registered at 3624 W FLORADORA AVE, FRESNO, CA 937225713 (Tel: 5599771001)

👤
Provider Name / Credentials Updated January 19, 2016

Recorded as NICKOLAS PERSONS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2016

Counselor

🟢
Initial NPI Registration & Enumeration January 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215394499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2016
Last Update: December 12, 2023
Sole Proprietor: No

Mailing Address

4460 W Shaw Ave # 738

Fresno, CA 937226210

Phone: 5599771001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.