Active NPI
Haley Ingrid Fuentes, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1245809052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 124427
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 124427 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Family Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| California Couples and Marriage Counseling, Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Foresight Mental Health | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1114770955
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1174016240
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.