Active NPI
Diego Rodriguez Garcia
- Marriage & Family Therapist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT118699
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC10898 | CA | MD | Mental Health Counselor |
| LMFT118699 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Past | Accepting new patients | |
| Fresno County Superintendent of Schools | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1235624768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1467042408
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1497093231
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.