Justin Stargaard, MFT, LPCC, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

JUSTIN STARGAARD, MFT, LPCC, LLC

Practice address

1398 W Indianapolis Ave Ste 101
Fresno, CA 93705-0300

Phone

(559) 549-3195

NPI assigned

Jan 21, 2022

Organization subpart

No

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

Authorized official

Name

Justin Robert Stargaard, MFT / LPCCNPI 1407224165

Title

MFT / LPCC

Phone

(559) 549-3195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Stargaard

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1407224165
  NPD Authorized official

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1073265997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 W INDIANAPOLIS AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050300",
            "telephone_number": "559-549-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 W INDIANAPOLIS AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050300",
            "telephone_number": "559-549-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN STARGAARD, MFT, LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "STARGAARD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MFT / LPCC",
        "authorized_official_telephone_number": "559-549-3195",
        "authorized_official_credential": "MFT / LPCC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER WHEN I WAS EMPLOYEE",
            "identifier": "1407224165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.