Individual provider Active NPI

Joshua Michael Mondary, LMFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1164929436
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT140054 Issued in CA
Practice address
3117 Wilson Rd
Bakersfield, CA 93304-5319
Phone
(661) 324-4756
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT104296 CA
Marriage & Family Therapist 106H00000X LMFT140054 CA Primary

Addresses

Primary practice location

3117 Wilson Rd
Bakersfield, CA 93304-5319

Mailing address

3117 Wilson Rd
Bakersfield, CA 93304-5319
Phone (661) 324-4756

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226000270 CA Practitioner - Marriage and Family Therapist 8921443300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of KernGroup PAC ID 7810887205, 75 clinicians

Practice addresses (Care Compare)

3117 Wilson Rd
Bakersfield, CA 93304-5319
Phone (661) 565-6279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT104296CAMDMarriage & Family Therapist
LMFT140054CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Oct 7, 2024 Accepting new patients
County of Kern Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Oct 7, 2024 Accepting new patients
County of Kern Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
County of Kern Marriage & Family Therapist Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

3628 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 322-1021

3117 Wilson Rd
Bakersfield, CA 93304
Phone (661) 324-2756

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (833) 678-2791

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1164929436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 WILSON RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933045319",
            "telephone_number": "661-324-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 WILSON RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933045319",
            "telephone_number": "661-324-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDARY",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT104296",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT140054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.