Individual provider Active NPI

Marilyn Santana

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1174113872
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
158344 Issued in CA
Practice address
5740 N Palm Ave Ste 101
Fresno, CA 93704-1800
Phone
(559) 547-0907
Fax
(559) 705-1921
NPI assigned
Jan 26, 2021
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 158344 CA Primary

Addresses

Primary practice location

5740 N Palm Ave Ste 101
Fresno, CA 93704-1800

Mailing address

5740 N Palm Ave Ste 101
Fresno, CA 93704-1800
Phone (559) 547-0907

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
158344CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deeply Rooted Family Counseling Prof Corp CurrentSince Oct 12, 2025 Accepting new patients

Locations

5740 N Palm Ave
Ste 101
Fresno, CA 93704
Phone (559) 513-9521

Organizations & group practices 1

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1174113872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041800",
            "telephone_number": "559-547-0907",
            "fax_number": "559-705-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041800",
            "telephone_number": "559-547-0907",
            "fax_number": "559-705-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "158344",
            "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 Oct 6, 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.