Active NPI
Michelle Lee
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1063839280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 101006
- Practice address
- 3133 N Millbrook Ave
Fresno, CA 93703 - Phone
- (559) 600-1783
- NPI assigned
- Mar 26, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101006 | CA | Primary |
Addresses
Primary practice location
3133 N Millbrook Ave
Fresno, CA 93703
Mailing address
3133 N Millbrook Ave
Fresno, CA 93703-1425
Other practice location 1
1630 E Shaw Ave
Suite z150
Fresno, CA 93710-8105
Phone (559) 248-8550
Other practice location 2
3133 N Millbrook Ave
Fresno, CA 93703
Phone (559) 600-1783
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 |
|---|---|---|---|
| 101006 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1063839280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 N MILLBROOK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 N MILLBROOK AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93703",
"telephone_number": "559-600-1783"
}
],
"practiceLocations": [
{
"address_1": "1630 E Shaw Ave",
"address_2": "Suite z150",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937108105",
"country_code": "US",
"telephone_number": "559-248-8550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3133 N Millbrook Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93703",
"country_code": "US",
"telephone_number": "559-600-1783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101006",
"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 Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.