Individual provider Active NPI

Pangchee Myer Mouavangsou, AMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1710327044
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
164765 Issued in CA
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

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
119903CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
ZND Residential Inc. PastSince Jul 4, 2021 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.

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.

Verify at the official NPI Registry.