Individual provider Active NPI

Marissa Virginia Rodriguez-Barragan

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1780437954
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT143137
Practice address
7461 N 1St St Ste 102
Fresno, CA 93720-2850
Phone
(559) 492-2086
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT143137 Primary

Addresses

Primary practice location

7461 N 1St St Ste 102
Fresno, CA 93720-2850

Mailing address

3845 N Clark St Ste 201
Fresno, CA 93726-4842

Other practice location 1

3845 N Clark St Ste 201
Fresno, CA 93726-4842
Phone (559) 492-2266

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

OrganizationSpecialtyStatusNew patients
Resiliency Center of Fresno Marriage & Family Therapist CurrentSince Feb 1, 2025 Accepting new patients
Prodigy Healthcare Non Profit PastSince Apr 1, 2024 Accepting new patients
Prodigy Healthcare Inc. PastSince Apr 1, 2024 Accepting new patients

Locations

3845 N Clark St
Ste 201
Fresno, CA 93726
Phone (559) 492-2266

7461 N 1st St
Ste 102
Fresno, CA 93720
Phone (559) 492-2086

Organizations & group practices 3

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1780437954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 N CLARK ST STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7461 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202850",
            "telephone_number": "559-492-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3845 N Clark St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264842",
            "country_code": "US",
            "telephone_number": "559-492-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-BARRAGAN",
        "first_name": "MARISSA",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "AMFT143137",
            "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 1, 2025; 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.