Eileen Maxine Sandoval, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

115318 Issued in CA

Practice address

1011 G St Ste 5
Reedley, CA 93654-2935

Phone

(559) 551-1400

Fax

(559) 551-1414

NPI assigned

Mar 5, 2014

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Serenamente Counseling

  dba Eileen M Sandoval, LMFT

  • Marriage & Family Therapist
  • Reedley, CA
  • NPI 1457928749
  NPD Authorized official

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1558787259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936540211",
            "telephone_number": "559-551-1400",
            "fax_number": "559-551-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 G ST STE 5",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542935",
            "telephone_number": "559-551-1400",
            "fax_number": "559-551-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 S L St",
            "address_purpose": "LOCATION",
            "city": "Dinuba",
            "state": "CA",
            "postal_code": "936182323",
            "country_code": "US",
            "telephone_number": "559-591-6680",
            "fax_number": "559-591-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "EILEEN",
        "middle_name": "MAXINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "79187",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Reedley, CA
• Providers in Reedley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.