Active NPI
Maricela Gomez
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1891169033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC123206
- Practice address
- 550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857 - Phone
- (559) 795-5990
- NPI assigned
- Nov 28, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PCCI2191 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC12320 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF87833 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC123206 | CA | Primary |
Addresses
Primary practice location
550 W Alluvial Ave Ste 108
Fresno, CA 93711-5857
Mailing address
6181 W Concordia Dr
Fresno, CA 93722-2666
Other practice location 1
209 E 7th St
Madera, CA 93638-3780
Phone (559) 673-3508
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 |
|---|---|---|---|
| PCCI2191 | CA | MD | Professional Counselor |
| IMF87833 | CA | MD | Marriage & Family Therapist |
| MFC12320 | CA | MD | Marriage & Family Therapist |
| MFC123206 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Family Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| California Couples and Marriage Counseling, Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
550 W Alluvial Ave
Ste 108
Fresno, CA 93711
Phone (559) 761-9724
Organizations & group practices 2
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 1114770955
-
- Marriage & Family Therapist
- Fresno, CA
- NPI 1174016240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1891169033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6181 W CONCORDIA DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "937222666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W ALLUVIAL AVE STE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937115857",
"telephone_number": "559-795-5990"
}
],
"practiceLocations": [
{
"address_1": "209 E 7th St",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "936383780",
"country_code": "US",
"telephone_number": "559-673-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "MARICELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-28",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "PCCI2191",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC12320",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF87833",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC123206",
"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 Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.