Cynthia Guadalupe Bracamontes
Individual provider Active NPI Marriage & Family Therapist · Magnolia, TX
NPI 1669743993 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1669743993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 92439 (CA)
- Practice address
- 27017 Sofia Forest Dr
Magnolia, TX 77354-6789 - Phone
- (714) 728-1647
- NPI assigned
- Jan 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Healthcare Network
Practice addresses (Care Compare)
1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260211002358 | CA | Practitioner - Marriage and Family Therapist | 7911486774 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68248 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current |
Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Family Healthcare Network | Current |
Accepting new patients |
Locations
290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101
3425 N 1st St
Fresno, CA 93726
Phone (559) 608-6581
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
Interoperability endpoints
- cynthiabracamontes@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 92439 | CA | Yes |
Addresses
Primary practice location
27017 Sofia Forest Dr
Magnolia, TX 77354-6789
Mailing address
27017 Sofia Forest Dr
Magnolia, TX 77354-6789
Phone (714) 728-1647
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMF68248 | Other | CA | BBS |
Other providers in Magnolia, TX
- Peggy Boone
- Alexandra Codie Borsboom
- Lauren Beth Bortnem
- Michael Charles Bourgeois
- Michael Bowen
- Christina Brasher
- Breakthrough Believers Recovery and Healing Center
- Breakthrough Believers Recovery and Healing Center
- Bregman Cares
- Candice Lynn Bronaugh
All providers in Magnolia, TX · Marriage & Family Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.