NPIMap

Individual provider Active NPI

Michel E Habre, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1396026035
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113215 Issued in CA
Practice address
4545 N West Ave
Fresno, CA 93705-0946
Phone
(559) 229-3561
NPI assigned
Sep 8, 2011
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 113215 CA Primary

Addresses

Primary practice location

4545 N West Ave
Fresno, CA 93705-0946

Mailing address

4545 N West Ave
Fresno, CA 93705-0946
Phone (559) 229-3561

Other practice location 1

4411 E. Kings Canyon Road
fresno, CA 93702
Phone (559) 253-9171

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

State licenses

LicenseStateTypeSpecialty
113215CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Youth Services of Fresno, Inc. (Functional Family Therap Past Accepting new patients
Comprehensive Youth Services of Fresno, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1396026035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937050946",
            "telephone_number": "559-229-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 E. Kings Canyon Road",
            "address_purpose": "LOCATION",
            "city": "fresno",
            "state": "CA",
            "postal_code": "93702",
            "country_code": "US",
            "telephone_number": "559-253-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABRE",
        "first_name": "MICHEL",
        "middle_name": "E",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113215",
            "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 May 15, 2019; 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.