Leilani Mitchell

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

127220 Issued in CA

Practice address

1470 W Herndon Ave # 300
Fresno, CA 93711-0552

Phone

(559) 256-2000

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellmind Online Ca Licensed Clinical Social Worker Prof Corp

  dba Wellmind

  • Psychiatry Physician
  • Palo Alto, CA
  • NPI 1447871272
  Medicare reassignment NPD
• California Psychological Institute

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1821179276
  NPD (past)
• Fresno Family Therapy

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1174016240
  NPD (past)
• Valle de Salinas Behavioral Health

  • Marriage & Family Therapist
  • Salinas, CA
  • NPI 1558874669
  NPD (past)

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1790169936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 W HERNDON AVE # 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-256-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 W HERNDON AVE # 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-256-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 N Fresno St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264037",
            "country_code": "US",
            "telephone_number": "559-259-7653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4035 N Fresno St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264041",
            "country_code": "US",
            "telephone_number": "559-259-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LEILANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "105772",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Mitchell, MA
• Jordan Noel Mitchell
• Julie M Mitchell, MD
• Kristen Mitchell
• Laquesha J Mitchell
• Morgan Ann Mitchell
• Robert K Mitchell, M.D.
• Sequoia Machelle Mitchell
• Tami Lynn Mitchell, RN, NP
• Sami I Mitri, RPH

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.