Active NPI
Timothy Don Neufeld, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1174193817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT136666
- Practice address
- 8483 N Millbrook Ave Ste 110
Fresno, CA 93720-2153 - Phone
- (559) 242-6256
- NPI assigned
- Jun 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT136666 | CA | Primary |
Addresses
Primary practice location
8483 N Millbrook Ave Ste 110
Fresno, CA 93720-2153
Mailing address
2712 E Kelso Ave
Fresno, CA 93720-5349
Phone (559) 999-0861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 28, 2025 through Feb 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT136666 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1174193817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 E KELSO AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937205349",
"telephone_number": "559-999-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8483 N MILLBROOK AVE STE 110",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202153",
"telephone_number": "559-242-6256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUFELD",
"first_name": "TIMOTHY",
"middle_name": "DON",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-25",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT136666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
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- Vanessa Rachael Nettelhorst Knight, MA
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- Kylene Marie Neuberger, SUDRC
- Stephanie Neumann Bese, PSY.D.
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- Neurosurgical Associates Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.