NPIMap

Organization Active NPI

California Couples and Marriage Counseling, Inc

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1114770955
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CALIFORNIA COUPLES AND MARRIAGE COUNSELING, INC
Practice address
550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857
Phone
(949) 787-1031
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Daniel Moultrie, LMFTNPI 1043623994
Title
Owner
Phone
(559) 285-6364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857

Mailing address

550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857
Phone (949) 787-1031

Other names 1

  • California Couples Counseing Doing business as

National Provider Directory

National Provider Directory

Locations

550 W Alluvial Ave
Ste 108
Fresno, CA 93711
Phone (559) 761-9724

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1114770955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W ALLUVIAL AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115857",
            "telephone_number": "949-787-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W ALLUVIAL AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115857",
            "telephone_number": "949-787-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COUPLES AND MARRIAGE COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "MOULTRIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-285-6364",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Couples Counseing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2024; 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.