Active NPI
Liliana Quintero Robles, AMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1285941773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT94252
- Practice address
- 1616 W Shaw Ave Ste B2
Fresno, CA 93711-3513 - Phone
- (559) 293-3174
- NPI assigned
- Sep 7, 2010
- 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 | |||
| Marriage & Family Therapist | 106H00000X | AMFT94252 | CA | Primary |
Addresses
Primary practice location
1616 W Shaw Ave Ste B2
Fresno, CA 93711-3513
Mailing address
1616 W Shaw Ave Ste B4
Fresno, CA 93711-3513
Phone (559) 293-3174
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 |
|---|---|---|---|
| AMFT94252 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Behavioral Health and Recovery Care Corp | Marriage & Family Therapist | Current | Accepting new patients |
| Central Star Behavioral Health, Inc. | Past | Accepting new patients |
Locations
1616 W Shaw Ave
Ste B2
Fresno, CA 93711
Phone (559) 284-8669
1616 W Shaw Ave
Ste B4
Fresno, CA 93711
Phone (559) 289-6853
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Fresno, CA
- NPI 1043890122
Marriage & Family Therapist
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1255218905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1285941773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W SHAW AVE STE B4",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113513",
"telephone_number": "559-293-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W SHAW AVE STE B2",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113513",
"telephone_number": "559-293-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "LILIANA",
"middle_name": "QUINTERO",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT94252",
"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 Jan 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.