Active NPI
Marita Lee Contreras, AMFT 99841
- Marriage & Family Therapist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99841
- Practice address
- 2540 W Shaw LN Ste 107
Fresno, CA 93711 - Phone
- (559) 256-7622
- NPI assigned
- Apr 7, 2016
- Last updated
- Dec 5, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 99841 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 99841 | CA | Primary |
Addresses
Primary practice location
2540 W Shaw LN Ste 107
Fresno, CA 93711
Mailing address
2540 W Shaw LN Ste 107
Fresno, CA 93711-2700
Phone (559) 256-7622
Other practice location 1
2025 E Dakota Ave Fl 2
Suite 230
Fresno, CA 93726-4804
Phone (559) 600-7142
Other practice location 2
301 E. 13 th Street
Merced, CA 95341-6214
Phone (209) 381-6800 ext. 3349
Other practice location 3
2540 W Shaw Ln Ste 107
Fresno, CA 93711
Phone (559) 256-7622
Other names 1
- Marita Lee Contreras
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 |
|---|---|---|---|
| 99841 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings View | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1124482989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 W SHAW LN STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937112700",
"telephone_number": "559-256-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 W SHAW LN STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-256-7622"
}
],
"practiceLocations": [
{
"address_1": "2025 E Dakota Ave Fl 2",
"address_2": "Suite 230",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937264804",
"country_code": "US",
"telephone_number": "559-600-7142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 E. 13 th Street",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953416214",
"country_code": "US",
"telephone_number": "209-381-6800 x3349",
"fax_number": "209-725-3676",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2540 W Shaw Ln Ste 107",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93711",
"country_code": "US",
"telephone_number": "559-256-7622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONTRERAS",
"first_name": "MARITA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "AMFT 99841",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "99841",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARITA",
"last_name": "CONTRERAS",
"middle_name": "LEE",
"credential": "AMFT",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 5, 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.