Organization Active NPI

Kathleen Spriggs Ballestero LLC

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1780494773
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KATHLEEN SPRIGGS BALLESTERO LLC
Practice address
2595 E Perrin Ave Ste 113
Fresno, CA 93720-5202
Phone
(559) 940-0646
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Kathleen Marie Spriggs Ballestero, MANPI 1568622090
Title
Owner/MFT Therapist
Phone
(559) 940-0646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2595 E Perrin Ave Ste 113
Fresno, CA 93720-5202

Mailing address

18729 Via Bellagio
Friant, CA 93626-7910
Phone (559) 940-0646

Other identifiers 1

IdentifierTypeStateIssuer
1568622090OtherCALMFT

National Provider Directory

National Provider Directory

Locations

2595 E Perrin Ave
Ste 113
Fresno, CA 93720
Phone (559) 824-2277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1780494773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18729 VIA BELLAGIO",
            "city": "FRIANT",
            "state": "CA",
            "postal_code": "936267910",
            "telephone_number": "559-940-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E PERRIN AVE STE 113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205202",
            "telephone_number": "559-940-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN SPRIGGS BALLESTERO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "SPRIGGS BALLESTERO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MFT THERAPIST",
        "authorized_official_telephone_number": "559-940-0646",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "1568622090",
            "state": "CA"
        }
    ],
    "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 Jan 10, 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.