Active NPI
Mara Marit Christensen, LCSW
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1457411449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS17522
- Practice address
- 4785 N 1St St
Fresno, CA 93726-0513 - Phone
- (559) 448-4620
- Fax
- (559) 448-4950
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS17522 | CA | Primary |
Addresses
Primary practice location
4785 N 1St St
Fresno, CA 93726-0513
Mailing address
1956 N Fitzgerald LN
Hanford, CA 93230-7913
Phone (559) 585-8100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS17522 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457411449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1956 N FITZGERALD LN",
"city": "HANFORD",
"state": "CA",
"postal_code": "932307913",
"telephone_number": "559-585-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4785 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937260513",
"telephone_number": "559-448-4620",
"fax_number": "559-448-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "MARA",
"middle_name": "MARIT",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS17522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Cory C Christensen, D.O.
- Don R Christensen, D.M.D.
- Jessica Lynne Christensen, PA-C
- Joseph T Christensen, MD
- Kristie Christensen, LCSW
- Ryann Christensen, DDS
- Carl E Christenson, DPM
- Joan W Christenson, MSW
- Maria Christina Christenson, PHARMD, MPH
- Christian Lopez Cornejo DMD Dental Corp (Community Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.