Individual provider Active NPI

Josefina R Ceja, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1053449793
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44445 Issued in CA
Practice address
2550 W Clinton Ave Unit 116
Fresno, CA 93705-4227
Phone
(559) 264-7521
Fax
(559) 225-9174
NPI assigned
Mar 2, 2007
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC44445 CA
Marriage & Family Therapist 106H00000X 44445 CA Primary

Addresses

Primary practice location

2550 W Clinton Ave Unit 116
Fresno, CA 93705-4227

Mailing address

2550 W Clinton Ave Unit 128
Fresno, CA 93705-4227
Phone (559) 264-7521

Other practice location 1

2550 W. Clinton Ave.
Building B #128
Fresno, CA 93705
Phone (559) 600-4878

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
I20240709004398 CA Practitioner - Marriage and Family Therapist 2264977727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

2550 W Clinton Ave
Fresno, CA 93705-4206
Phone (858) 251-2314

2550 W Clinton Ave
Unit 156
Fresno, CA 93705-4210
Phone (858) 251-2314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44445CAMDMarriage & Family Therapist
MFC44445CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince May 12, 2024 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Mental Health Systems, Inc. Past Accepting new patients

Locations

2550 W Clinton Ave
Ste B
Fresno, CA 93705
Phone (858) 251-2314

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1053449793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE UNIT 128",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054227",
            "telephone_number": "559-264-7521",
            "fax_number": "559-225-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W CLINTON AVE UNIT 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054227",
            "telephone_number": "559-264-7521",
            "fax_number": "559-225-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W. Clinton Ave.",
            "address_2": "Building B #128",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93705",
            "country_code": "US",
            "telephone_number": "559-600-4878",
            "fax_number": "559-600-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEJA",
        "first_name": "JOSEFINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC44445",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.