Individual provider Active NPI

Jose Carlos Martinez Gutierrez, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1538396882
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92611 Issued in CA
Practice address
153 N U St
Fresno, CA 93701-2438
Phone
(916) 202-2502
NPI assigned
Jun 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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 92611 CA Primary

Addresses

Primary practice location

153 N U St
Fresno, CA 93701-2438

Mailing address

153 N U St
Fresno, CA 93701-2438
Phone (916) 202-2502

Other practice location 1

550 Patterson Blvd
Pleasant Hill, CA 94523-4155
Phone (916) 202-2502

Other practice location 2

1840 S Central St
Visalia, CA 93277-4418
Phone (559) 471-4050

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

305 E Ctr Ave
Visalia, CA 93291-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92611CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Courage to Change, Inc. PastSince Nov 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1538396882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N U ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012438",
            "telephone_number": "916-202-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N U ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012438",
            "telephone_number": "916-202-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Patterson Blvd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945234155",
            "country_code": "US",
            "telephone_number": "916-202-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 S Central St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774418",
            "country_code": "US",
            "telephone_number": "559-471-4050",
            "fax_number": "559-713-1392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ GUTIERREZ",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.