Active NPI
Michelle Holguin, LMFT LPCC
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1790813186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47781
- Practice address
- 5588 N Palm Ave
Fresno, CA 93704-1913 - Phone
- (559) 549-3694
- Fax
- (559) 374-0968
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 47781 | CA | Primary |
| Professional Counselor | 101YP2500X | LPCC801 | CA |
Addresses
Primary practice location
5588 N Palm Ave
Fresno, CA 93704-1913
Mailing address
5588 N Palm Ave
Fresno, CA 93704-1913
Phone (559) 549-3694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC801 | CA | MD | Professional Counselor |
| 801 | CA | MD | Dental Hygienist |
| 47781 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420848000000",
"number": "1790813186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5588 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041913",
"telephone_number": "559-549-3694",
"fax_number": "559-374-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5588 N PALM AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937041913",
"telephone_number": "559-549-3694",
"fax_number": "559-374-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGUIN",
"first_name": "MICHELLE",
"credential": "LMFT LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47781",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC801",
"primary": false
}
],
"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 Jan 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.