Individual provider Active NPI

Fatima Micaela Vazquez

  • Professional Counselor
  • Fresno, CA
National Provider Identifier
1326403312
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC16145 Issued in CA
Practice address
3433 W Shaw Ave # 107
Fresno, CA 93711-3229
Phone
(559) 476-2115
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC16145 CA Primary

Addresses

Primary practice location

3433 W Shaw Ave # 107
Fresno, CA 93711-3229

Mailing address

2416 W Shaw Ave Ste 114
Fresno, CA 93711-3303
Phone (559) 248-8550

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
I20240814001928 CA Practitioner - Mental Health Counselor 1850839465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janz Family Therapy IncorporatedGroup PAC ID 0547613135, 4 clinicians

Practice addresses (Care Compare)

1357 W Shaw Ave
Suite 100
Fresno, CA 93711-3619
Phone (559) 825-1205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APCC4811CAMDProfessional Counselor
16145CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janz Family Therapy Incorporated CurrentSince Jul 30, 2024 Accepting new patients
Central Star Behavioral Health, Inc. Past Accepting new patients

Locations

1357 W Shaw Ave
Ste 100
Fresno, CA 93711
Phone (559) 825-1205

2037 W Bullard Ave
Fresno, CA 93711
Phone (559) 362-3505

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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1326403312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 W SHAW AVE STE 114",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113303",
            "telephone_number": "559-248-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 W SHAW AVE # 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113229",
            "telephone_number": "559-476-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "FATIMA",
        "middle_name": "MICAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC16145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.