Active NPI
Diane Birgit Prosser, MFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1164731964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 101YM0800X
- Practice address
- 5090 N College Ave Apt 113
Fresno, CA 93704-2609 - Phone
- (831) 917-7993
- NPI assigned
- Sep 28, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101YM0800X | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 21767 | CA |
Addresses
Primary practice location
5090 N College Ave Apt 113
Fresno, CA 93704-2609
Mailing address
5090 N College Ave Apt 113
Fresno, CA 93704-2609
Phone (831) 917-7993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21767 | Other | CA | BBS |
| N4429037 | Other | CA | DRIVERS LICENSE NUMBER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YM0800X | CA | MD | Counselor |
| 21767 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County | Current | Accepting new patients | |
| Fresno County | Current | Accepting new patients | |
| County of Fresno | Current | Accepting new patients | |
| County of Fresno | Current | Accepting new patients |
Locations
4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099
Organizations & group practices 5
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.
-
dba Fresno County Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1770538001
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
-
- State or Local Public Health Clinic/Center
- Fresno, CA
- NPI 1174606420
-
dba Metro Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1023270907
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1861527517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1164731964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5090 N COLLEGE AVE APT 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042609",
"telephone_number": "831-917-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5090 N COLLEGE AVE APT 113",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042609",
"telephone_number": "831-917-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "DIANE",
"middle_name": "BIRGIT",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101YM0800X",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "21767",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS",
"identifier": "21767",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "N4429037",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Promesa Behavioral Health (PROMESA BEHAVIORAL HEALTH- Millbrook)
- Promesa Behavioral Health FCHN
- Promesa Behavioral Health-Enhanced Isfc
- Pros Weekly LLC
- Prospice Medical Group Corporation
- Edwin Protacio, RN
- Brittany Breanne Protzman
- Dora Provencio
- Proveri Fresno LLC (Proveri Fresno Pharmacy)
- Providence Home Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.