Active NPI
Andrea Lynne Templeton, AMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1053672774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106948
- Practice address
- 1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519 - Phone
- (559) 436-0482
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 70852 | CA | |
| Marriage & Family Therapist | 106H00000X | 106948 | CA | Primary |
Addresses
Primary practice location
1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519
Mailing address
1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519
Phone (559) 436-0482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106948 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70852 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1053672774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 W SHAW AVE STE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113519",
"telephone_number": "559-436-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 W SHAW AVE STE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113519",
"telephone_number": "559-436-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLETON",
"first_name": "ANDREA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "70852",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "106948",
"state": "CA"
}
],
"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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.