Organization Active NPI

Laura Slagle, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1508391368
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT83605 Issued in CA
Legal business name
LAURA SLAGLE, LMFT
Practice address
6276 N 1St St Ste 103
Fresno, CA 93710-5400
Phone
(559) 970-8831
Fax
(559) 412-2104
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaylene Booth
Title
Biller
Phone
(559) 797-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LMFT83605 CA Primary

Addresses

Primary practice location

6276 N 1St St Ste 103
Fresno, CA 93710-5400

Mailing address

6276 N 1St St Ste 103
Fresno, CA 93710-5400
Phone (559) 970-8831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1508391368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-970-8831",
            "fax_number": "559-412-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-970-8831",
            "fax_number": "559-412-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SLAGLE, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JAYLENE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "559-797-6055"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT83605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.