Individual provider Active NPI

Lisete Oyervidez, LMFT

  • Marriage & Family Therapist
  • Kingsburg, CA
National Provider Identifier
1558886754
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120625 Issued in CA
Practice address
3961 Avenue 400 RM 1a
Kingsburg, CA 93631-9660
Phone
(559) 326-5320
Fax
(559) 326-5323
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 106931 CA
Marriage & Family Therapist 106H00000X 120625 CA Primary

Addresses

Primary practice location

3961 Avenue 400 RM 1a
Kingsburg, CA 93631-9660

Mailing address

3530 W Mineral King Ave Ste E
Visalia, CA 93291-5600
Phone (559) 623-2250

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
106931CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Team Inc CurrentSince May 7, 2024 Accepting new patients
Success in Recovery PastSince Mar 1, 2021 Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients

Locations

3961 Avenue 400
Rm 1A
Kingsburg, CA 93631
Phone (559) 326-5320

Interoperability endpoints

  • Direct secure messaging: lisete.oyervidez.p4@direct.vht.nextgenshare.com

Organizations & group practices 3

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1558886754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 W MINERAL KING AVE STE E",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915600",
            "telephone_number": "559-623-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 AVENUE 400 RM 1A",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936319660",
            "telephone_number": "559-326-5320",
            "fax_number": "559-326-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYERVIDEZ",
        "first_name": "LISETE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2024-04-29",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "106931",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.