Individual provider Active NPI

Jessica Rita Padilla Rodriguez, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1386929115
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT107653 Issued in CA
Practice address
1617 E Saginaw Way Ste 101
Fresno, CA 93704-4458
Phone
(559) 256-4474
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 LMFT107653 CA Primary

Addresses

Primary practice location

1617 E Saginaw Way Ste 101
Fresno, CA 93704-4458

Mailing address

1617 E Saginaw Way Ste 101
Fresno, CA 93704-4458
Phone (559) 256-4474

Other practice location 1

1925 E Dakota Ave Ste Q
Fresno, CA 93726-4821
Phone (559) 470-7647

Other names 1

  • Jessica Rita Padilla Cortes Former name

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
I20240213001623 CA Practitioner - Marriage and Family Therapist 2062855406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT107653CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View CurrentSince Sep 5, 2023 Accepting new patients
Kings View CurrentSince Jan 1, 2024 Accepting new patients
Kings View Current Accepting new patients

Locations

1617 E Saginaw Way
Ste 101
Fresno, CA 93704
Phone (559) 241-8582

4910 E Ashlan Ave
Ste 118
Fresno, CA 93726
Phone (559) 256-4474

1396 W Herndon Ave
Fresno, CA 93711
Phone (559) 216-1997

1393 Bailey St
Hanford, CA 93230
Phone (559) 582-4481

Organizations & group practices 3

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1386929115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E SAGINAW WAY STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044458",
            "telephone_number": "559-256-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E SAGINAW WAY STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044458",
            "telephone_number": "559-256-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 E Dakota Ave Ste Q",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264821",
            "country_code": "US",
            "telephone_number": "559-470-7647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA RODRIGUEZ",
        "first_name": "JESSICA",
        "middle_name": "RITA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT107653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PADILLA CORTES",
            "middle_name": "RITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.