Michelle Frizzelle, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132628 Issued in CA

Practice address

658 E Brier Dr
San Bernardino, CA 92408-2880

Phone

(909) 501-0730

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1265079180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18442 THOMAS CT",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923012268",
            "telephone_number": "760-246-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082880",
            "telephone_number": "909-501-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELLE",
        "first_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132628",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Frias
• Arthur Friedman, O.D.
• Brandon Jay Friedman, O.D.
• Martha Veronica Friedman
• Brian Friesen, LMFT
• Melquiades Fronda, DDS
• Elias Diego Frondarina
• Gamil Fteeh, M.D.
• Justin A. Fu, M.D.
• Victor Fu, M.D.

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.