Active NPI
Angela Michelle Richardson, MA
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1477628899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48126
- Practice address
- 1925 E Dakota Ave
Fresno, CA 93726-4821 - Phone
- (559) 600-4645
- Fax
- (559) 455-4633
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 48126 | CA | Primary |
Addresses
Primary practice location
1925 E Dakota Ave
Fresno, CA 93726-4821
Mailing address
209 E 7TH St
Madera, CA 93638-3780
Phone (559) 673-3508
Other practice location 1
209 E 7th St
Madera, CA 93638-3780
Phone (559) 673-3508
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48126 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1477628899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E 7TH ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936383780",
"telephone_number": "559-673-3508",
"fax_number": "559-661-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E DAKOTA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264821",
"telephone_number": "559-600-4645",
"fax_number": "559-455-4633"
}
],
"practiceLocations": [
{
"address_1": "209 E 7th St",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "936383780",
"country_code": "US",
"telephone_number": "559-673-3508",
"fax_number": "559-661-2818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ANGELA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48126",
"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 May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.