Individual provider Active NPI

Barrett Eng

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1447620562
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT112340 Issued in CA
Practice address
770 E Shaw Ave
Fresno, CA 93710-7717
Phone
(559) 691-6840
NPI assigned
Oct 1, 2015
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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 LMFT112340 CA Primary

Addresses

Primary practice location

770 E Shaw Ave
Fresno, CA 93710-7717

Mailing address

770 E Shaw Ave Ste 230
Fresno, CA 93710-7708

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
I20240522001115 CA Practitioner - Marriage and Family Therapist 5597107573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112340CAMDClinical Social Worker
LMFT112340CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Family Therapy Corp Marriage & Family Therapist CurrentSince Nov 29, 2020 Accepting new patients
Cyti Health PC CurrentSince Apr 8, 2024 Accepting new patients

Locations

770 E Shaw Ave
Ste 230
Fresno, CA 93710
Phone (559) 691-6840

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1447620562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E SHAW AVE STE 230",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107717",
            "telephone_number": "559-691-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "BARRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT112340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.