Individual provider Active NPI

Diego Rodriguez Garcia

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1447604426
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT118699 Issued in CA
Practice address
1925 E Dakota Ave Ste G
Fresno, CA 93726-4821
Phone
(559) 600-4645
Fax
(559) 455-4633
NPI assigned
Apr 15, 2016
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC10898 CA
Marriage & Family Therapist 106H00000X LMFT118699 CA Primary

Addresses

Primary practice location

1925 E Dakota Ave Ste G
Fresno, CA 93726-4821

Mailing address

6083 N Figarden Dr # 124
Fresno, CA 93722-3226
Phone (559) 706-0008

Other practice location 1

2350 W Shaw Ave Ste 116
Fresno, CA 93711
Phone (559) 573-4194

Other practice location 2

3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-4115

Other practice location 3

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2024 through Dec 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC10898CAMDMental Health Counselor
LMFT118699CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Superintendent of Schools PastSince Apr 1, 2024 Accepting new patients
Fresno County Superintendent of Schools PastSince Jun 1, 2021 Accepting new patients
VMS Family Counseling Services Past Accepting new patients

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, 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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1447604426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6083 N FIGARDEN DR # 124",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223226",
            "telephone_number": "559-706-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE STE G",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-600-4645",
            "fax_number": "559-455-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 W Shaw Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93711",
            "country_code": "US",
            "telephone_number": "559-573-4194",
            "fax_number": "559-224-4288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-4115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DIEGO",
        "middle_name": "RODRIGUEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC10898",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT118699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.