Individual provider Active NPI

Sarah Irene Ashley-Roa, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1043895436
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT139359 Issued in CA
Practice address
6276 N 1St St Ste 103
Fresno, CA 93710-5400
Phone
(559) 712-4300
Fax
(559) 412-7564
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 LMFT139359 CA Primary

Addresses

Primary practice location

6276 N 1St St Ste 103
Fresno, CA 93710-5400

Mailing address

6276 N 1St St Ste 103
Fresno, CA 93710-5400
Phone (559) 712-4300

Other identifiers 1

IdentifierTypeStateIssuer
LMFT139359OtherCALICENSED MARRIAGE AND FAMILY THERAPY REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002001139 CA Practitioner - Marriage and Family Therapist 4284165234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olive Leaf Family Therapy IncGroup PAC ID 7810428851, 7 clinicians

Practice addresses (Care Compare)

6276 N 1St St
Suite 103
Fresno, CA 93710-5400
Phone (559) 712-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT139359CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Leaf Family Therapy, Inc Marriage & Family Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

6276 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 530-2822

5150 E Pacific Coast Hwy
Ste 200
Long Beach, CA 90804
Phone (562) 285-3542

Organizations & group practices 1

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1043895436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-712-4300",
            "fax_number": "559-412-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-712-4300",
            "fax_number": "559-412-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY-ROA",
        "first_name": "SARAH",
        "middle_name": "IRENE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT139359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPY REGISTRATION",
            "identifier": "LMFT139359",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.