Individual provider Active NPI

Eric Morris Rosen, LMFT 97204

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1033518329
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97204 Issued in CA
Practice address
5610 W Donner Ave
Fresno, CA 93722-3721
Phone
(818) 746-6007
NPI assigned
Aug 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97204 CA Primary

Addresses

Primary practice location

5610 W Donner Ave
Fresno, CA 93722-3721

Mailing address

1782 Escalon Ave
Clovis, CA 93611-7430
Phone (818) 746-6007

Other practice location 1

64 E Weldon Ave
Fresno, CA 93704-5956
Phone (559) 442-1947

Other practice location 2

7658 N. Sante Fe Ave
Fresno, CA 93722
Phone (818) 746-6007

Other practice location 3

3043 W Roberts Ave
Fresno, CA 93711-2160
Phone (818) 746-6007

Other practice location 4

1396 W Herndon Ave
Fresno, CA 93711-7126
Phone (818) 746-6007

Other practice location 5

5271 W Palo Alto Ave
Fresno, CA 93722-3635
Phone (559) 276-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
97204CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Care Family Therapy, Inc Current Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Nov 21, 2021 Accepting new patients
Fresno Youth Care Homes, Inc. Marriage & Family Therapist PastSince Aug 1, 2019 Accepting new patients
Fresno Youth Care Homes, Inc. PastSince Nov 21, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033518329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 ESCALON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117430",
            "telephone_number": "818-746-6007",
            "fax_number": "559-228-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 W DONNER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223721",
            "telephone_number": "818-746-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 E Weldon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045956",
            "country_code": "US",
            "telephone_number": "559-442-1947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7658 N. Sante Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93722",
            "country_code": "US",
            "telephone_number": "818-746-6007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 W Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112160",
            "country_code": "US",
            "telephone_number": "818-746-6007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1396 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117126",
            "country_code": "US",
            "telephone_number": "818-746-6007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5271 W Palo Alto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223635",
            "country_code": "US",
            "telephone_number": "559-276-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ERIC",
        "middle_name": "MORRIS",
        "credential": "LMFT 97204",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.