Active NPI
Wendy Denise Brox, LMFT
- Marriage & Family Therapist
- Clovis, CA
National Provider Identifier
1154610673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC49402
- Practice address
- 3134 Willow Ave
Suite #103
Clovis, CA 93612-4747 - Phone
- (559) 425-6640
- NPI assigned
- Apr 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC49402 | CA | Primary |
Addresses
Primary practice location
3134 Willow Ave
Suite #103
Clovis, CA 93612-4747
Mailing address
3134 Willow Ave
Suite #103
Clovis, CA 93612-4747
Phone (559) 425-6640
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 |
|---|---|---|---|
| MFC49402 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1154610673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3134 WILLOW AVE",
"address_2": "SUITE #103",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936124747",
"telephone_number": "559-425-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 WILLOW AVE",
"address_2": "SUITE #103",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936124747",
"telephone_number": "559-425-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROX",
"first_name": "WENDY",
"middle_name": "DENISE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC49402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.