Individual provider Active NPI

Grace Ann Mahoney, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1871869669
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97366 Issued in CA
Practice address
1925 E Dakota Ave
Fresno, CA 93726-4821
Phone
(559) 600-7141
Fax
(559) 600-7672
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 69402 CA
Marriage & Family Therapist 106H00000X 97366 CA Primary

Addresses

Primary practice location

1925 E Dakota Ave
Fresno, CA 93726-4821

Mailing address

1925 E Dakota Ave
Fresno, CA 93726-4821
Phone (559) 600-7141

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
I20240903003950 CA Practitioner - Marriage and Family Therapist 4880133958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of FresnoGroup PAC ID 4981591690, 22 clinicians

Practice addresses (Care Compare)

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97366CAMDMarriage & Family Therapist
69402CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fresno CurrentSince Jun 20, 2024 Accepting new patients
Fresno County CurrentSince Nov 24, 2024 Accepting new patients
Fresno County CurrentSince Nov 3, 2024 Accepting new patients
County of Fresno CurrentSince Jun 20, 2024 Accepting new patients

Locations

1925 E Dakota Ave
Fresno, CA 93726
Phone (559) 216-1075

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

4447 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 253-9318

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1871869669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-600-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-600-7141",
            "fax_number": "559-600-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.