Individual provider Active NPI

Glenda La Rosa Navarro

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1164198362
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152005 Issued in CA
Practice address
1396 W Herndon Ave
Fresno, CA 93711-7126
Phone
(559) 256-0100
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 152005 CA Primary

Addresses

Primary practice location

1396 W Herndon Ave
Fresno, CA 93711-7126

Mailing address

2825 E El Paso Ave
Fresno, CA 93720-6409

Other practice location 1

2825 E El Paso Ave
Fresno, CA 93720-6409
Phone (559) 512-5113

Other practice location 2

1925 E Dakota Ave
Fresno, CA 93726-4821
Phone (559) 256-0100

Other practice location 3

1410 F St # 101
Fresno, CA 93706-1608
Phone (559) 256-0100

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
152005CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MRM Family Counseling Services, Inc. Marriage & Family Therapist PastSince Feb 24, 2022 Accepting new patients
Fresno Family Therapy Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1164198362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E EL PASO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937206409"
        },
        {
            "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": "559-256-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 E El Paso Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937206409",
            "country_code": "US",
            "telephone_number": "559-512-5113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 E Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264821",
            "country_code": "US",
            "telephone_number": "559-256-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 F St # 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937061608",
            "country_code": "US",
            "telephone_number": "559-256-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "GLENDA",
        "middle_name": "LA ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152005",
            "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 Aug 26, 2025; 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.