Active NPI
Angela Alice Ybarra
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1831455286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 53050
- Practice address
- 1295 N Wishon Ave Ste 211
Fresno, CA 93728-2350 - Phone
- (559) 316-1097
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 53050 | CA | Primary |
Addresses
Primary practice location
1295 N Wishon Ave Ste 211
Fresno, CA 93728-2350
Mailing address
1631 NE Broadway St
PMB 750
Portland, OR 97232
Phone (559) 316-1097
Other names 1
- Angela Alice Mendez
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 53050 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selah Counseling Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1295 N Wishon Ave
Ste 211
Fresno, CA 93728
Phone (559) 316-1097
1631 NE Broadway St
Portland, OR 97232
Phone (888) 391-4999
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1477128643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692403200000",
"number": "1831455286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 NE BROADWAY ST",
"address_2": "PMB 750",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "559-316-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 N WISHON AVE STE 211",
"city": "FRESNO",
"state": "CA",
"postal_code": "937282350",
"telephone_number": "559-316-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YBARRA",
"first_name": "ANGELA",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2023-08-19",
"certification_date": "2023-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 53050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "MENDEZ",
"middle_name": "ALICE",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 19, 2023; 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.