Individual provider Active NPI

Pearl Delight Heppner, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1528234150
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC40217 Issued in CA
Practice address
2610 W Shaw LN
Suite 104
Fresno, CA 93711-2775
Phone
(559) 437-3710
Fax
(559) 437-3720
NPI assigned
May 4, 2008
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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 MFC40217 CA Primary

Addresses

Primary practice location

2610 W Shaw LN
Suite 104
Fresno, CA 93711-2775

Mailing address

PO Box 4304
Fresno, CA 93744-4304
Phone (559) 437-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 12, 2024 through Feb 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC40217CAMDMarriage & Family Therapist
40217CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foundations Counseling Services Marriage & Family Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1528234150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4304",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937444304",
            "telephone_number": "559-437-3710",
            "fax_number": "559-437-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W SHAW LN",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112775",
            "telephone_number": "559-437-3710",
            "fax_number": "559-437-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPNER",
        "first_name": "PEARL",
        "middle_name": "DELIGHT",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.