Active NPI
Tiffany Crystal White
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1134513682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC109371
- Practice address
- 1396 W Herndon Ave
Fresno, CA 93711-7126 - Phone
- (559) 256-4474
- NPI assigned
- Mar 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85258 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC109371 | CA | Primary |
Addresses
Primary practice location
1396 W Herndon Ave
Fresno, CA 93711-7126
Mailing address
PO Box 4
Hanford, CA 93232-0004
Phone (559) 537-5729
Other practice location 1
1225 M St
Fresno, CA 93721-1805
Phone (559) 600-9313
Other practice location 2
1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821
Phone (559) 600-4645
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 |
|---|---|---|---|
| 85258 | CA | MD | Marriage & Family Therapist |
| MFC109371 | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1982162731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1134513682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "HANFORD",
"state": "CA",
"postal_code": "932320004",
"telephone_number": "559-537-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1396 W HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937117126",
"telephone_number": "559-256-4474"
}
],
"practiceLocations": [
{
"address_1": "1225 M St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937211805",
"country_code": "US",
"telephone_number": "559-600-9313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1925 E Dakota Ave Ste Q",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937264821",
"country_code": "US",
"telephone_number": "559-600-4645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "TIFFANY",
"middle_name": "CRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2023-04-25",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85258",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC109371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.