Individual provider Active NPI

Danielle Mendoza

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1538728134
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131122 Issued in CA
Practice address
1357 W Shaw Ave Ste 100
Fresno, CA 93711-3619
Phone
(559) 825-1205
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114029 CA
Marriage & Family Therapist 106H00000X 131122 CA Primary

Addresses

Primary practice location

1357 W Shaw Ave Ste 100
Fresno, CA 93711-3619

Mailing address

6673 N Meridian Ave
Fresno, CA 93710-4632

Other practice location 1

2934 N Fresno St
Fresno, CA 93703-1123
Phone (559) 549-6697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
131122CAMDClinical Social Worker
114029CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janz Family Therapy Incorporated Marriage & Family Therapist CurrentSince Mar 12, 2023 Accepting new patients
Central Star Behavioral Health, Inc. Past Accepting new patients

Locations

1357 W Shaw Ave
Ste 100
Fresno, CA 93711
Phone (559) 825-1205

Organizations & group practices 2

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1538728134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6673 N MERIDIAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113619",
            "telephone_number": "559-825-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2934 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031123",
            "country_code": "US",
            "telephone_number": "559-549-6697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114029",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131122",
            "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 Dec 9, 2022; 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.