Individual provider Active NPI

Courtney Michelle Niedhamer

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1366624397
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51533 Issued in CA
Practice address
1322 E Shaw Ave Ste 305
Fresno, CA 93710-7918
Phone
(559) 367-6839
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 51533 CA Primary

Addresses

Primary practice location

1322 E Shaw Ave Ste 305
Fresno, CA 93710-7918

Mailing address

1322 E Shaw Ave Ste 305
Fresno, CA 93710-7918
Phone (559) 367-6839

Other practice location 1

349 E Bullard Ave Ste 102
Fresno, CA 93710-5298
Phone (559) 367-6839

Other practice location 2

7521 N Chestnut Ave
Fresno, CA 93720-0331
Phone (559) 367-6839

Other practice location 3

3045 N Blackstone Ave
Fresno, CA 93703-1062
Phone (559) 367-6839

Other practice location 4

784 W Holland Ave
Clovis, CA 93612-4800
Phone (559) 367-6839

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
I20251104002974 CA Practitioner - Marriage and Family Therapist 6608385943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing Family Therapy Center IncGroup PAC ID 8527594522, 6 clinicians

Practice addresses (Care Compare)

349 E Bullard Ave
Suite 102
Fresno, CA 93710-5298
Phone (559) 367-6839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51533CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Healing Family Therapy Center Inc Marriage & Family Therapist CurrentSince Oct 21, 2025 Accepting new patients

Locations

349 E Bullard Ave
Ste 102
Fresno, CA 93710
Phone (559) 367-6839

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1366624397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE STE 305",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107918",
            "telephone_number": "559-367-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E SHAW AVE STE 305",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107918",
            "telephone_number": "559-367-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 E Bullard Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105298",
            "country_code": "US",
            "telephone_number": "559-367-6839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7521 N Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200331",
            "country_code": "US",
            "telephone_number": "559-367-6839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031062",
            "country_code": "US",
            "telephone_number": "559-367-6839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 W Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936124800",
            "country_code": "US",
            "telephone_number": "559-367-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEDHAMER",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.