Organization Active NPI

Cultural Family Therapy Incorporated

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1578294401
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CULTURAL FAMILY THERAPY INCORPORATED
Practice address
7555 N del Mar Ave Ste 206
Fresno, CA 93711-6880
Phone
(559) 500-6744
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Angelica Clemencia CejaNPI 1962959049
Title
LMFT #113465/Ceo
Phone
(559) 554-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

7555 N del Mar Ave Ste 206
Fresno, CA 93711-6880

Mailing address

2938 E Santa Ana Ave
Fresno, CA 93726-0434
Phone (559) 554-8287

Other names 1

  • Cultural Counseling of CA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510001942 CA Part B Supplier - Clinic/Group Practice 3274974084 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

351 E Barstow Ave
Ste 102
Fresno, CA 93710
Phone (559) 500-6744

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1578294401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 E SANTA ANA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260434",
            "telephone_number": "559-554-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 N DEL MAR AVE STE 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116880",
            "telephone_number": "559-500-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURAL FAMILY THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "CEJA",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "CLEMENCIA",
        "authorized_official_title_or_position": "LMFT #113465/CEO",
        "authorized_official_telephone_number": "559-554-8287"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultural Counseling of CA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.