Individual provider Active NPI

Maria Mayela Razo-Vega, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1114309556
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT132359 Issued in CA
Practice address
575 E Locust Ave Ste 101
Fresno, CA 93720-2928
Phone
(559) 202-3612
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 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 LMFT132359 CA Primary

Addresses

Primary practice location

575 E Locust Ave Ste 101
Fresno, CA 93720-2928

Mailing address

575 E Locust Ave Ste 101
Fresno, CA 93720-2928
Phone (559) 202-3612

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
I20240526000027 CA Practitioner - Marriage and Family Therapist 9638511306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT132359CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Apr 17, 2024 Accepting new patients
Resiliency Center of Fresno Marriage & Family Therapist CurrentSince May 1, 2022 Accepting new patients

Locations

3845 N Clark St
Ste 201
Fresno, CA 93726
Phone (559) 492-2266

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1114309556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E LOCUST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202928",
            "telephone_number": "559-202-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E LOCUST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202928",
            "telephone_number": "559-202-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZO-VEGA",
        "first_name": "MARIA",
        "middle_name": "MAYELA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT132359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.