Active NPI
Judith M Casas, LMFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1811019763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 43759
- Practice address
- 2190 N Winery Ave Ste 102
Fresno, CA 93703-4812 - Phone
- (559) 892-0049
- Fax
- (559) 558-8999
- NPI assigned
- Apr 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 43759 | CA | Primary |
Addresses
Primary practice location
2190 N Winery Ave Ste 102
Fresno, CA 93703-4812
Mailing address
2190 N Winery Ave Ste 102
Fresno, CA 93703-4812
Phone (559) 981-2109
Other practice location 1
4946 E Yale Ave
Suite 101
Fresno, CA 93727-1571
Phone (559) 353-1415
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 43759 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1811019763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 N WINERY AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937034812",
"telephone_number": "559-981-2109",
"fax_number": "559-558-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 N WINERY AVE STE 102",
"city": "FRESNO",
"state": "CA",
"postal_code": "937034812",
"telephone_number": "559-892-0049",
"fax_number": "559-558-8999"
}
],
"practiceLocations": [
{
"address_1": "4946 E Yale Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271571",
"country_code": "US",
"telephone_number": "559-353-1415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASAS",
"first_name": "JUDITH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 43759",
"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 Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.