Active NPI
Elizabeth Fonseca
- Marriage & Family Therapist
- Dos Palos, CA
National Provider Identifier
1124403282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF95905
- Practice address
- 2041 Almond St
Dos Palos, CA 93620-2303 - Phone
- (209) 392-0280
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF95905 | CA | Primary |
| Mental Health Counselor | 101YM0800X | IMF95905 | CA |
Addresses
Primary practice location
2041 Almond St
Dos Palos, CA 93620-2303
Mailing address
PO Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Los Banos, CA
- NPI 1477293249
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 |
|---|---|---|---|
| IMF95905 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced County Bheavioral Helath and Recovery Services | Marriage & Family Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHCJDD/Endpoint/BHCJDD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1124403282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "MERCED",
"state": "CA",
"postal_code": "953440087",
"telephone_number": "209-381-6800",
"fax_number": "209-725-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 ALMOND ST",
"city": "DOS PALOS",
"state": "CA",
"postal_code": "936202303",
"telephone_number": "209-392-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF95905",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF95905",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dos Palos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.