Individual provider Active NPI

Rebecca Ann Reynolds, MS, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1225490733
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC105561 Issued in CA
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

Updated by the provider on Nov 2, 2022

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 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

LicenseStateTypeSpecialty
IMF 90176CAMDMarriage & Family Therapist
MFC105561CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View PastSince Feb 6, 2022 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.

Verify at the official NPI Registry.