Active NPI
Kristen Garcia
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1578745352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96307
- Practice address
- 1630 E Shaw Ave Ste 150
Fresno, CA 93710-8109 - Phone
- (559) 248-8550
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96307 | CA | Primary |
Addresses
Primary practice location
1630 E Shaw Ave Ste 150
Fresno, CA 93710-8109
Mailing address
1630 E Shaw Ave Ste 150
Fresno, CA 93710-8109
Other practice location 1
1805 E Fir Ave Ste 107
Fresno, CA 93720-3859
Phone (559) 250-7415
Other practice location 2
7080 N Marks Ave
Ste. 104
Fresno, CA 93711-0288
Phone (559) 248-8550
Other names 1
- Kristen Rodriguez
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 |
|---|---|---|---|
| 96307 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope & Healing Family Therapy Center Inc | Marriage & Family Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1518654532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1578745352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 E SHAW AVE STE 150",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 E SHAW AVE STE 150",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108109",
"telephone_number": "559-248-8550"
}
],
"practiceLocations": [
{
"address_1": "1805 E Fir Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203859",
"country_code": "US",
"telephone_number": "559-250-7415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7080 N Marks Ave",
"address_2": "Ste. 104",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937110288",
"country_code": "US",
"telephone_number": "559-248-8550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "RODRIGUEZ",
"code": "1",
"type": "Former 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 Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.