Individual provider Active NPI

Jeannette Ashley Martinez, MFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1033797253
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4812 E Butler Ave
Fresno, CA 93727-5014
Phone
(559) 453-8050
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 CA Primary

Addresses

Primary practice location

4812 E Butler Ave
Fresno, CA 93727-5014

Mailing address

1717 S Chestnut Ave
Fresno, CA 93702-4709
Phone (559) 453-8050

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Pacific University Dba Pacific Counseling Center Marriage & Family Therapist CurrentSince Dec 22, 2024 Accepting new patients
Resiliency Center of Fresno Marriage & Family Therapist PastSince Apr 1, 2021 Accepting new patients

Locations

1717 S Chestnut Ave
Fresno, CA 93702
Phone (559) 453-8050

1717 S Chestnut Ave
#14
Fresno, CA 93702
Phone (559) 453-8073

4812 E Butler Ave
Fresno, CA 93727
Phone (559) 453-8050

Organizations & group practices 2

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1033797253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S CHESTNUT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937024709",
            "telephone_number": "559-453-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 E BUTLER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275014",
            "telephone_number": "559-453-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JEANNETTE",
        "middle_name": "ASHLEY",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "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 Feb 12, 2025; 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.