Individual provider Active NPI

Marita Lee Contreras, AMFT 99841

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1124482989
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99841 Issued in CA
Practice address
2540 W Shaw LN Ste 107
Fresno, CA 93711
Phone
(559) 256-7622
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
99841CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View PastSince Nov 17, 2019 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.