Individual provider Active NPI

Ivory Joe Carter, AMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1689435646
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT150018 Issued in CA
Practice address
3855 N West Ave Ste 110
Fresno, CA 93705-2759
Phone
(559) 334-7433
NPI assigned
Jan 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 AMFT150018 CA Primary

Addresses

Primary practice location

3855 N West Ave Ste 110
Fresno, CA 93705-2759

Mailing address

3855 N West Ave Ste 110
Fresno, CA 93705-2759
Phone (559) 334-7433

Other practice location 1

1690 W Shaw Ave Ste 201
Fresno, CA 93711-3519
Phone (855) 343-1057

Other practice location 2

3800 McCall Ave Ste 104
Selma, CA 93662-2217
Phone (855) 343-1057

Other practice location 3

380 Coalinga Plz
Coalinga, CA 93210-1704
Phone (855) 343-1057

Other practice location 4

258 N Blackstone Ave
Fresno, CA 93701-1913
Phone (559) 274-0299

Other practice location 5

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 476-2166

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

LicenseStateTypeSpecialty
AMFT150018CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1689435646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 N WEST AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937052759",
            "telephone_number": "559-334-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 N WEST AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937052759",
            "telephone_number": "559-334-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 W Shaw Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113519",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 McCall Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622217",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Coalinga Plz",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932101704",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011913",
            "country_code": "US",
            "telephone_number": "559-274-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St Ste 162",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266869",
            "country_code": "US",
            "telephone_number": "559-476-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "IVORY",
        "middle_name": "JOE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT150018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.