Active NPI
Desha Dione Jackson, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1740737493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 116896
- Practice address
- 4824 N 1St St Ste 101
Fresno, CA 93726-0523 - Phone
- (559) 212-4370
- NPI assigned
- Sep 9, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 116896 | CA | Primary |
Addresses
Primary practice location
4824 N 1St St Ste 101
Fresno, CA 93726-0523
Mailing address
4824 N 1St St Ste 101
Fresno, CA 93726-0523
Phone (559) 212-4370
Other names 1
- Desma Dione Gentry
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 |
|---|---|---|---|
| 116896 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Bridges Family Counseling, Inc. | Marriage & Family Therapist | Current | Accepting new patients |
| Jaryn L. Warren, Marriage and Family Therapist, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Locations
4824 N 1st St
Ste 101
Fresno, CA 93726
Phone (559) 212-4370
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1144172156
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1639533938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1740737493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4824 N 1ST ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937260523",
"telephone_number": "559-212-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4824 N 1ST ST STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937260523",
"telephone_number": "559-212-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DESHA",
"middle_name": "DIONE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "116896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESMA",
"last_name": "GENTRY",
"middle_name": "DIONE",
"code": "5",
"type": "Other Name"
}
]
}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 Jan 5, 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.