Individual provider Active NPI

Marcela Segura Crispin

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1508377128
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
102653 Issued in CA
Practice address
1600 M St
Fresno, CA 93721-1122
Phone
(559) 487-1332
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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 102653 CA Primary

Addresses

Primary practice location

1600 M St
Fresno, CA 93721-1122

Mailing address

5556 W Escalon Ave
Fresno, CA 93722-3134

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
I20260429004267 CA Practitioner - Marriage and Family Therapist 0749757482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 E Shaw Ave
Suite 149
Fresno, CA 93710-7903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102653CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MRM Family Counseling Services, Inc. Marriage & Family Therapist CurrentSince Mar 16, 2026 Accepting new patients
Marjaree Mason Center Past Accepting new patients
Marjaree Mason Center Marriage & Family Therapist Past Accepting new patients
4C Children and Family Services Inc Past Accepting new patients

Locations

1300 E Shaw Ave
Ste 149
Fresno, CA 93710
Phone (559) 554-9710

1300 E Shaw Ave
Ste 172
Fresno, CA 93710
Phone (559) 554-9710

Organizations & group practices 4

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1508377128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 W ESCALON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 M ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211122",
            "telephone_number": "559-487-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA CRISPIN",
        "first_name": "MARCELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.