Active NPI
Elizabeth Vargas, LMFT
- Marriage & Family Therapist
- Visalia, CA
National Provider Identifier
1508190612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 136063
- Practice address
- 1620 W Mineral King Ave Ste C&D
Visalia, CA 93291-4440 - Phone
- (559) 201-8408
- Fax
- (559) 702-0129
- NPI assigned
- Sep 22, 2009
- Last updated
- Dec 4, 2023
- 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 | 136063 | CA | Primary |
Addresses
Primary practice location
1620 W Mineral King Ave Ste C&D
Visalia, CA 93291-4440
Mailing address
644 Pollasky Ave Ste 203
Clovis, CA 93612-1883
Phone (559) 201-8408
Other names 1
- Elizabeth Zavaleta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 8, 2024 through Apr 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulare County Office of Education | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1710207162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1508190612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 POLLASKY AVE STE 203",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936121883",
"telephone_number": "559-201-8408",
"fax_number": "559-702-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 W MINERAL KING AVE STE C&D",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914440",
"telephone_number": "559-201-8408",
"fax_number": "559-702-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "ELIZABETH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "136063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ZAVALETA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.