Active NPI
Pangchee Myer Mouavangsou, AMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1710327044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 164765
- Practice address
- 2514 N Whittier Ave
Fresno, CA 93727-1462 - Phone
- (559) 554-9703
- NPI assigned
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 119903 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | 164765 | CA | Primary |
Addresses
Primary practice location
2514 N Whittier Ave
Fresno, CA 93727-1462
Mailing address
2514 N Whittier Ave
Fresno, CA 93727-1462
Other practice location 1
2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218
Phone (559) 264-7521
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 |
|---|---|---|---|
| 119903 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ZND Residential Inc. | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1932779550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1710327044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 N WHITTIER AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 N WHITTIER AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271462",
"telephone_number": "559-554-9703"
}
],
"practiceLocations": [
{
"address_1": "2550 W Clinton Ave Unit 311",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937054218",
"country_code": "US",
"telephone_number": "559-264-7521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUAVANGSOU",
"first_name": "PANGCHEE",
"middle_name": "MYER",
"name_prefix": "Mr.",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-01",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119903",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "164765",
"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 Aug 24, 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.