Individual provider Active NPI

Vanessa Autumn Miller, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1780925933
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107814 Issued in CA
Practice address
2760 S Elm Ave
Fresno, CA 93706-5435
Phone
(595) 457-5200
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 107814 CA Primary

Addresses

Primary practice location

2760 S Elm Ave
Fresno, CA 93706-5435

Mailing address

2760 S Elm Ave
Fresno, CA 93706-5435
Phone (595) 457-5200

Other practice location 1

302 Fresno St Ste 106
Fresno, CA 93706-3641
Phone (559) 457-5750

Other practice location 2

3451 W Shaw Ave Ste 101
Fresno, CA 93711-3242
Phone (559) 457-6890

Other practice location 3

2002 N Fine Ave Ste 101
Fresno, CA 93727-1511
Phone (559) 457-6975

Other practice location 4

2547 W Shaw Ave Ste 117
Fresno, CA 93711
Phone (559) 412-7799

Other practice location 5

1616 W Shaw Ave Ste B4
Fresno, CA 93711-3513
Phone (559) 293-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003131 CA Practitioner - Marriage and Family Therapist 6305297219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra Vista 180 clinicians

Practice addresses (Care Compare)

2760 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107814CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Blair Marriage and Family Therapy, Inc. Marriage & Family Therapist Past Accepting new patients

Locations

1430 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone 6616353050 ext. 2148

3451 W Shaw Ave
Ste 101
Fresno, CA 93711
Phone (559) 202-3423

2760 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5300

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

Organizations & group practices 4

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": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1780925933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "595-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "595-457-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Fresno St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937063641",
            "country_code": "US",
            "telephone_number": "559-457-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 W Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113242",
            "country_code": "US",
            "telephone_number": "559-457-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 N Fine Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271511",
            "country_code": "US",
            "telephone_number": "559-457-6975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2547 W Shaw Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93711",
            "country_code": "US",
            "telephone_number": "559-412-7799",
            "fax_number": "559-241-0105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 W Shaw Ave Ste B4",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113513",
            "country_code": "US",
            "telephone_number": "559-293-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VANESSA",
        "middle_name": "AUTUMN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.