Active NPI
Casie Ann Ennis, LMFT
- Marriage & Family Therapist
- Visalia, CA
National Provider Identifier
1689958910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85026
- Practice address
- 520 E Tulare Ave
Visalia, CA 93292-3629 - Phone
- (559) 623-0986
- NPI assigned
- Oct 5, 2011
- 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 | 85026 | CA | Primary |
Addresses
Primary practice location
520 E Tulare Ave
Visalia, CA 93292-3629
Mailing address
520 E Tulare Ave
Visalia, CA 93292-3629
Phone (559) 623-0986
Other practice location 1
1029 N Demaree St
Visalia, CA 93291-4117
Phone (559) 901-3780
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
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Tulare, CA
- NPI 1881719839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1689958910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-623-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-623-0986"
}
],
"practiceLocations": [
{
"address_1": "1029 N Demaree St",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932914117",
"country_code": "US",
"telephone_number": "559-901-3780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENNIS",
"first_name": "CASIE",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "85026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.