Active NPI
Maureen Wolf, MFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1144472465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 45298
- Practice address
- 1463 W Shaw Ave
Fresno, CA 93711-3608 - Phone
- (559) 222-2545
- Fax
- (559) 243-1807
- NPI assigned
- Oct 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 45298 | CA | Primary |
Addresses
Primary practice location
1463 W Shaw Ave
Fresno, CA 93711-3608
Mailing address
1451 W Shaw Ave
Fresno, CA 93711-3608
Phone (559) 222-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502003129 | CA | Practitioner - Marriage and Family Therapist | 8325488653 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1451 W Shaw Ave
Fresno, CA 93711-3608
1463 W Shaw Ave
Fresno, CA 93711-3608
Phone (559) 222-2545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 45298 | CA | MD | Marriage & Family Therapist |
| 45298 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1144472465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113608",
"telephone_number": "559-222-2545",
"fax_number": "559-243-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1463 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113608",
"telephone_number": "559-222-2545",
"fax_number": "559-243-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MAUREEN",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 45298",
"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 Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.