Active NPI
Marij Bouwmans, MFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1689809972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT34136
- Practice address
- 2014 Tulare St
610
Fresno, CA 93721-2014 - Phone
- (559) 226-4855
- NPI assigned
- May 15, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT34136 | CA | Primary |
Addresses
Primary practice location
2014 Tulare St
610
Fresno, CA 93721-2014
Mailing address
844 N Van Ness Ave
Fresno, CA 93728-3426
Phone (559) 441-0201
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 |
|---|---|---|---|
| MFT34136 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1689809972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 N VAN NESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283426",
"telephone_number": "559-441-0201",
"fax_number": "559-442-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 TULARE ST",
"address_2": "610",
"city": "FRESNO",
"state": "CA",
"postal_code": "937212014",
"telephone_number": "559-226-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUWMANS",
"first_name": "MARIJ",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT34136",
"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 May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.