Individual provider Active NPI

Sergio Benjamin Pereyra, PHD, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1336734078
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123021 Issued in CA
Practice address
410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191
Phone
(559) 472-0501
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 123021 CA Primary

Addresses

Primary practice location

410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191

Mailing address

410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191
Phone (559) 472-0501

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Family Counseling Inc Marriage & Family Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

410 W Fallbrook Ave
Ste 105
Fresno, CA 93711
Phone (559) 472-0501

575 E Locust Ave
Ste 101
Fresno, CA 93720
Phone (559) 314-2304

Organizations & group practices 1

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1336734078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W FALLBROOK AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116191",
            "telephone_number": "559-472-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W FALLBROOK AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116191",
            "telephone_number": "559-472-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREYRA",
        "first_name": "SERGIO",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123021",
            "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 Aug 26, 2024; 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.