Nercy Lisbeth Basulto Fuentes

Individual provider Active NPI Marriage & Family Therapist · El Dorado Hills, CA

NPI 1043782147 · NPPES record last updated Nov 10, 2025

Key facts

NPI
1043782147
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
1035 Suncast LN Ste 120
El Dorado Hills, CA 95762-9339
Phone
(916) 906-5578
NPI assigned
Dec 30, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

1035 Suncast LN Ste 120
El Dorado Hills, CA 95762-9339

Mailing address

1570 Daunting Dr
El Dorado Hills, CA 95762-7658
Phone (479) 882-2393

Other names

  • Nercy Lisbeth Padilla-Fuentes Former name

Other providers in El Dorado Hills, CA

All providers in El Dorado Hills, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.