Individual provider Active NPI

PA Kou Vue, LMFT #121352

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1487010419
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121352 Issued in CA
Practice address
1551 E. Shaw Ave,
Suite #116
Fresno, CA 93710-8007
Phone
(559) 202-3390
Fax
(559) 468-0288
NPI assigned
Jan 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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 CA
Marriage & Family Therapist 106H00000X 121352 CA Primary

Addresses

Primary practice location

1551 E. Shaw Ave,
Suite #116
Fresno, CA 93710-8007

Mailing address

711 W. Shaw Ave. #112, PMB 71
Clovis, CA 93612-3214
Phone (559) 668-1736

Other practice location 1

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

Other practice location 2

3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-5755

Other practice location 3

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

Other practice location 4

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-5755

Other practice location 5

2025 E Dakota Ave Ste 200
Fresno, CA 93726
Phone (559) 600-5755

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
I20240214003615 CA Practitioner - Marriage and Family Therapist 6901240225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 W Shaw Ave
Suite 3a
Fresno, CA 93711-3712
Phone (559) 202-3390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vue Family Therapy, Inc. CurrentSince Dec 27, 2023 Accepting new patients

Locations

711 W Shaw Ave
Ste 112
Clovis, CA 93612

1551 E Shaw Ave
Ste 116
Fresno, CA 93710
Phone (559) 202-3390

1300 W Shaw Ave
Ste 3A
Fresno, CA 93711
Phone (559) 202-3390

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1487010419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W. SHAW AVE. #112, PMB 71",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123214",
            "telephone_number": "559-668-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E. SHAW AVE,",
            "address_2": "SUITE #116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108007",
            "telephone_number": "559-202-3390",
            "fax_number": "559-468-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 E Shaw Ave",
            "address_2": "Suite 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": "3133 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-5755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 E Shaw Ave",
            "address_2": "Suite 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": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-5755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 E Dakota Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93726",
            "country_code": "US",
            "telephone_number": "559-600-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUE",
        "first_name": "PA KOU",
        "name_prefix": "Miss",
        "credential": "LMFT #121352",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.