Individual provider Active NPI

Melissa Marie Willard, LMFT

  • Marriage & Family Therapist
  • Clovis, CA
National Provider Identifier
1508145772
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
93335 Issued in CA
Practice address
106 Pollasky Ave Ste D
Clovis, CA 93612-1159
Phone
(559) 203-3775
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 93335 CA Primary

Addresses

Primary practice location

106 Pollasky Ave Ste D
Clovis, CA 93612-1159

Mailing address

106 Pollasky Ave Ste D
Clovis, CA 93612-1159
Phone (559) 355-7491

Other practice location 1

7575 N Cedar Ave Ste 102
Fresno, CA 93720-2693
Phone (559) 355-7491

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcure, Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

106 Pollasky Ave
Ste D
Clovis, CA 93612
Phone (559) 203-3775

7575 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 203-3775

512 N Court St
Visalia, CA 93291
Phone (559) 203-3775

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1508145772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 POLLASKY AVE STE D",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121159",
            "telephone_number": "559-355-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 POLLASKY AVE STE D",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121159",
            "telephone_number": "559-203-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 N Cedar Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202693",
            "country_code": "US",
            "telephone_number": "559-355-7491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.