Individual provider Active NPI

Lois K Griffith, MSC LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1407153687
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48295 Issued in CA
Practice address
191 W Shaw Ave
Suite 107
Fresno, CA 93704-2807
Phone
(559) 422-0077
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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 MFC 48295 CA Primary

Addresses

Primary practice location

191 W Shaw Ave
Suite 107
Fresno, CA 93704-2807

Mailing address

4260 N Wishon Ave
Fresno, CA 93704-3728
Phone (559) 422-0077

Other names 1

  • Ms. Lois K Jensen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 8, 2024 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 48295CAMDMarriage & Family Therapist
48295CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1407153687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 N WISHON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937043728",
            "telephone_number": "559-422-0077",
            "fax_number": "559-446-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 W SHAW AVE",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042807",
            "telephone_number": "559-422-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "LOIS",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSC  LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "JENSEN",
            "middle_name": "K",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.