Individual provider Active NPI

Samantha Martin Zelaya

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1457760605
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
108599 Issued in CA
Practice address
745 E Locust Ave Ste 106
Fresno, CA 93720
Phone
(559) 479-9224
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 108599 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

745 E Locust Ave Ste 106
Fresno, CA 93720

Mailing address

6240 W Palo Alto Ave
Fresno, CA 93722-2001
Phone (559) 479-9224

Other practice location 1

1630 E Shaw Ave
#150
Fresno, CA 93710-8105
Phone (559) 248-8550

Other practice location 2

1630 E Shaw Ave
#150
Fresno, CA 93710-8105
Phone (559) 248-8550

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108599CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Family Therapy Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1457760605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 W PALO ALTO AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222001",
            "telephone_number": "559-479-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E LOCUST AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-479-9224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 E Shaw Ave",
            "address_2": "#150",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937108105",
            "country_code": "US",
            "telephone_number": "559-248-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 E Shaw Ave",
            "address_2": "#150",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937108105",
            "country_code": "US",
            "telephone_number": "559-248-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "SAMANTHA",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108599",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.