Individual provider Active NPI

Haley Ingrid Fuentes, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1245809052
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124427 Issued in CA
Practice address
550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857
Phone
(559) 795-5990
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 124427 CA Primary

Addresses

Primary practice location

550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857

Mailing address

698 N Claremont Ave
Clovis, CA 93611-7304
Phone (559) 681-8311

Other names 1

  • Mrs. Haley Ingrid Fuentes Professional name

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
124427CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Family Therapy Marriage & Family Therapist CurrentSince Jun 27, 2021 Accepting new patients
California Couples and Marriage Counseling, Inc Marriage & Family Therapist CurrentSince Apr 14, 2024 Accepting new patients
Foresight Mental Health Marriage & Family Therapist PastSince Nov 19, 2023 Accepting new patients

Locations

1598 Shaw Ave
Clovis, CA 93611
Phone (209) 564-0255

550 W Alluvial Ave
Ste 108
Fresno, CA 93711
Phone (559) 761-9724

Organizations & group practices 3

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1245809052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 N CLAREMONT AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117304",
            "telephone_number": "559-681-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W ALLUVIAL AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115857",
            "telephone_number": "559-795-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "HALEY",
        "middle_name": "INGRID",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "FUENTES",
            "middle_name": "INGRID",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 24, 2021; 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.