Individual provider Active NPI

Cristina Y Decker-Blunt, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1639201551
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 47318 Issued in CA
Practice address
5703 N West Ave Ste 101
Fresno, CA 93711-2366
Phone
(559) 281-4738
Fax
(800) 617-4723
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 47318 CA Primary

Addresses

Primary practice location

5703 N West Ave Ste 101
Fresno, CA 93711-2366

Mailing address

5703 N West Ave Ste 101
Fresno, CA 93711-2366
Phone (559) 281-4738

Other identifiers 1

IdentifierTypeStateIssuer
MFC 47318OtherCABBS

Medicare participation

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 47318CAMDMarriage & Family Therapist
47318CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Horizon Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1639201551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 N WEST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112366",
            "telephone_number": "559-281-4738",
            "fax_number": "800-617-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 N WEST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112366",
            "telephone_number": "559-281-4738",
            "fax_number": "800-617-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER-BLUNT",
        "first_name": "CRISTINA",
        "middle_name": "Y",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "MFC 47318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.