Active NPI
Krista Marie Tarvin, APCC
- Mental Health Counselor
- Fresno, CA
National Provider Identifier
1689217705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18858
- Practice address
- 3455 W Shaw Ave Ste 107
Fresno, CA 93711-3201 - Phone
- (559) 515-6180
- NPI assigned
- Oct 21, 2019
- Last updated
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18858 | CA | Primary |
Addresses
Primary practice location
3455 W Shaw Ave Ste 107
Fresno, CA 93711-3201
Mailing address
3554 N Duke Ave SPC 136
Fresno, CA 93727-7833
Phone (559) 618-3500
Other names 1
- Krista Marie Jessie
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 |
|---|---|---|---|
| 18858 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elenka | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1689217705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3554 N DUKE AVE SPC 136",
"city": "FRESNO",
"state": "CA",
"postal_code": "937277833",
"telephone_number": "559-618-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 W SHAW AVE STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113201",
"telephone_number": "559-515-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVIN",
"first_name": "KRISTA",
"middle_name": "MARIE",
"credential": "APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "18858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "JESSIE",
"middle_name": "MARIE",
"credential": "APCC",
"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 Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.