Active NPI
Rebecca Ann Reynolds, MS, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1225490733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC105561
- Practice address
- 4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021 - Phone
- (559) 582-4481
- NPI assigned
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 | IMF 90176 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC105561 | CA | Primary |
Addresses
Primary practice location
4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021
Mailing address
4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021
Phone (559) 582-4481
Other practice location 1
1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821
Phone (559) 639-2006
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 90176 | CA | MD | Marriage & Family Therapist |
| MFC105561 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings View | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1225490733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 E ASHLAN AVE STE 118",
"city": "FRESNO",
"state": "CA",
"postal_code": "937263021",
"telephone_number": "559-582-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 E ASHLAN AVE STE 118",
"city": "FRESNO",
"state": "CA",
"postal_code": "937263021",
"telephone_number": "559-582-4481"
}
],
"practiceLocations": [
{
"address_1": "1925 E Dakota Ave Ste Q",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937264821",
"country_code": "US",
"telephone_number": "559-639-2006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 90176",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC105561",
"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 Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.