Active NPI
Fonda Lee Hart, LMFT
- Marriage & Family Therapist
- Salem, OR
National Provider Identifier
1588726475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T2875
- Practice address
- 2250 D St NE
Salem, OR 97301-2768 - Phone
- (503) 364-6093
- Fax
- (503) 364-5121
- NPI assigned
- Dec 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT39053 | CA | |
| Marriage & Family Therapist | 106H00000X | T2875 | OR | Primary |
Addresses
Primary practice location
2250 D St NE
Salem, OR 97301-2768
Mailing address
2250 D St NE
Salem, OR 97301-2768
Phone (503) 364-6093
Other practice location 1
6073 N Fresno St
Suite 105
Fresno, CA 93710-8614
Phone (559) 801-1430
Other practice location 2
693 W Bullard Ave
Fresno, CA 93704-1607
Phone (559) 676-7656
Other practice location 3
388 State St Ste 702
Salem, OR 97301-4023
Phone (559) 801-1430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 14, 2025 through Apr 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT39053 | CA | MD | Marriage & Family Therapist |
| T2875 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1588726475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 D ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012768",
"telephone_number": "503-364-6093",
"fax_number": "503-364-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 D ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012768",
"telephone_number": "503-364-6093",
"fax_number": "503-364-5121"
}
],
"practiceLocations": [
{
"address_1": "6073 N Fresno St",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937108614",
"country_code": "US",
"telephone_number": "559-801-1430",
"fax_number": "559-354-5272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "693 W Bullard Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937041607",
"country_code": "US",
"telephone_number": "559-676-7656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "388 State St Ste 702",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973014023",
"country_code": "US",
"telephone_number": "559-801-1430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "FONDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT39053",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T2875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.