Organization Active NPI

Rise Individual and Family Therapy a Professional Corporation

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1386319200
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RISE INDIVIDUAL AND FAMILY THERAPY A PROFESSIONAL CORPORATION
Practice address
4946 E Yale Ave Ste 101
Fresno, CA 93727-1571
Phone
(559) 259-8933
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Monica Villar, LMFTNPI 1487083929
Title
Ceo
Phone
(559) 259-8933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4946 E Yale Ave Ste 101
Fresno, CA 93727-1571

Mailing address

4946 E Yale Ave Ste 101
Fresno, CA 93727-1571
Phone (559) 259-8933

Other names 1

  • Divergent Solutions Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

4946 E Yale Ave
Ste 101
Fresno, CA 93727
Phone (559) 259-8933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1386319200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 E YALE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271571",
            "telephone_number": "559-259-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 E YALE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271571",
            "telephone_number": "559-259-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE INDIVIDUAL AND FAMILY THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-259-8933",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divergent Solutions Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2023; 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.