Active NPI
Obed Romero, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1548823099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC134586
- Practice address
- 410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191 - Phone
- (559) 472-0501
- NPI assigned
- Apr 19, 2019
- Last updated
- Nov 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6365 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF112824 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC134586 | CA | Primary |
Addresses
Primary practice location
410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191
Mailing address
410 W Fallbrook Ave Ste 105
Fresno, CA 93711-6191
Phone (559) 472-0501
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6365 | CA | MD | Counselor |
| IMF112824 | CA | MD | Marriage & Family Therapist |
| MFC134586 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esperanza Family Counseling Inc | Counselor | Current | Accepting new patients |
Locations
410 W Fallbrook Ave
Ste 105
Fresno, CA 93711
Phone (559) 472-0501
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": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1548823099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W FALLBROOK AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937116191",
"telephone_number": "559-472-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W FALLBROOK AVE STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937116191",
"telephone_number": "559-472-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "OBED",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2023-11-08",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "6365",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF112824",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC134586",
"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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.