Individual provider Active NPI

Sandra Marquez-Mesuite, MFTI

  • Mental Health Counselor
  • Visalia, CA
National Provider Identifier
1386772705
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMF94496 Issued in CA
Practice address
525 W. Center Ave Ste G
Visalia, CA 93291-6045
Phone
(559) 553-3298
Fax
(559) 366-7211
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF94496 CA Primary

Addresses

Primary practice location

525 W. Center Ave Ste G
Visalia, CA 93291-6045

Mailing address

525 W. Center Ave Ste G
Visalia, CA 93291-6045
Phone (559) 553-3298

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
I20260511001727 CA Practitioner - Marriage and Family Therapist 3476021270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

402 W Broadway
Suite 400
San Diego, CA 92101-3554

6947 W Allen Ave
Visalia, CA 93291-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF94496CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Past Accepting new patients

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1386772705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W. CENTER AVE STE G",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916045",
            "telephone_number": "559-553-3298",
            "fax_number": "559-366-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W. CENTER AVE STE G",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916045",
            "telephone_number": "559-553-3298",
            "fax_number": "559-366-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ-MESUITE",
        "first_name": "SANDRA",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF94496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.