Active NPI
Dennis Richard Pottenger, M.A., M.F.T.
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1366888513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 53270
- Practice address
- 5150 N 6TH St Ste 119
Fresno, CA 93710 - Phone
- (559) 614-0010
- NPI assigned
- May 15, 2013
- Last updated
- Aug 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 53270 | CA | Primary |
Addresses
Primary practice location
5150 N 6TH St Ste 119
Fresno, CA 93710
Mailing address
5150 N 6TH St Ste 119
Fresno, CA 93710-7510
Phone (559) 614-0010
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53270 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533340800000",
"number": "1366888513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 N 6TH ST STE 119",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107510",
"telephone_number": "559-614-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 N 6TH ST STE 119",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-614-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTENGER",
"first_name": "DENNIS",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "M.A., M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2018-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "53270",
"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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.