Individual provider Active NPI

Georgina Crisanto

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1164546784
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2333 W Whitendale Ave
Visalia, CA 93277-8701
Phone
(559) 799-9201
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 107706 CA
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2333 W Whitendale Ave
Visalia, CA 93277-8701

Mailing address

4708 W School Ave
Visalia, CA 93291-5253
Phone (559) 799-9201

Other practice location 1

220 N Locust St
Visalia, CA 93291-4946
Phone (559) 627-1385

Other practice location 2

5150 N 6th St Ste 149
Fresno, CA 93710-7505
Phone (559) 825-1324

Other practice location 3

55 Shaw Ave Ste 115
Clovis, CA 93612
Phone (559) 825-1324

Other practice location 4

1115 W Center Ave
Visalia, CA 93291-5912
Phone (559) 623-9950

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
107706CAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Footsteps, a Licensed Clinical Social Worker Corporation Mental Health Past Accepting new patients
Premier Family Counseling Group Marriage & Family Therapist Past Accepting new patients
Footsteps Behavioral Health Corporation Past Accepting new patients

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1164546784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 W SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915253",
            "telephone_number": "559-799-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 W WHITENDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778701",
            "telephone_number": "559-799-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Locust St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932914946",
            "country_code": "US",
            "telephone_number": "559-627-1385",
            "fax_number": "559-636-2105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 N 6th St Ste 149",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107505",
            "country_code": "US",
            "telephone_number": "559-825-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Shaw Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "93612",
            "country_code": "US",
            "telephone_number": "559-825-1324",
            "fax_number": "559-408-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 W Center Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915912",
            "country_code": "US",
            "telephone_number": "559-623-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISANTO",
        "first_name": "GEORGINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "107706",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.