Individual provider Active NPI

Michelle Donaldson, MFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1508124066
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52931 Issued in CA
Practice address
2501 W Shaw Ave Ste 113
Fresno, CA 93711-3307
Phone
(559) 871-2683
Fax
(559) 478-2424
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 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 52931 CA Primary

Addresses

Primary practice location

2501 W Shaw Ave Ste 113
Fresno, CA 93711-3307

Mailing address

2501 W Shaw Ave Ste 113
Fresno, CA 93711-3307
Phone (559) 871-2683

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
I20250925003593 CA Practitioner - Marriage and Family Therapist 6800391269 Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 W Shaw Ave
Suite 113
Fresno, CA 93711-3307
Phone (559) 871-2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52931CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1508124066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W SHAW AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113307",
            "telephone_number": "559-871-2683",
            "fax_number": "559-478-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W SHAW AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113307",
            "telephone_number": "559-871-2683",
            "fax_number": "559-478-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "MICHELLE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.