Individual provider Active NPI

Cheryl Anne Hixson, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1306398805
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
105273 Issued in CA
Practice address
6276 N 1St St Ste 105
Fresno, CA 93710-5400
Phone
(559) 492-6778
Fax
(559) 412-7564
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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 105273 CA Primary

Addresses

Primary practice location

6276 N 1St St Ste 105
Fresno, CA 93710-5400

Mailing address

6276 N 1St St Ste 105
Fresno, CA 93710-5400
Phone (559) 492-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211002526 CA Practitioner - Marriage and Family Therapist 4183155120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olive Leaf Family Therapy IncGroup PAC ID 7810428851, 7 clinicians

Practice addresses (Care Compare)

6276 N 1St St
Suite 103
Fresno, CA 93710-5400
Phone (559) 712-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105273CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Leaf Family Therapy, Inc Marriage & Family Therapist CurrentSince Aug 7, 2024 Accepting new patients
Dwight W Sievert MD Inc CurrentSince Aug 7, 2024 Accepting new patients
CGR Connextions Marriage & Family Therapist Past Accepting new patients

Locations

7131 N 11th St
Ste 104
Fresno, CA 93720
Phone (559) 435-0800

6276 N 1st St
Ste 103
Fresno, CA 93710
Phone (559) 530-2822

6276 N 1st St
Ste 105
Fresno, CA 93710
Phone (559) 355-8030

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1306398805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-492-6778",
            "fax_number": "559-448-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-492-6778",
            "fax_number": "559-412-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "CHERYL",
        "middle_name": "ANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.