Individual provider Active NPI

Samantha Norris Vandeputte, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1891220943
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135745 Issued in CA
Practice address
6224 W Belmont Ave
Fresno, CA 93723-9556
Phone
(559) 277-9089
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 99129 CA
Marriage & Family Therapist 106H00000X 135745 CA Primary

Addresses

Primary practice location

6224 W Belmont Ave
Fresno, CA 93723-9556

Mailing address

6224 W Belmont Ave
Fresno, CA 93723-9556
Phone (559) 277-9089

Other practice location 1

3894 E Gettysburg Ave
Fresno, CA 93726-0901
Phone (559) 283-1072

Other practice location 2

2140 Merced St
Fresno, CA 93721-1721
Phone (559) 840-4937

Other practice location 3

2216 E Cambridge Ave
Fresno, CA 93703-2123
Phone (559) 252-2140

Other practice location 4

4862 E Clinton Ave
Fresno, CA 93703-2873
Phone (559) 252-2450

Other practice location 5

6250 N Millbrook Ave
Fresno, CA 93710-5620
Phone (559) 431-7874

Other practice location 6

4165 E Perrin Rd
Clovis, CA 93619-9118
Phone (559) 297-6893

Other practice location 7

3267 W Rialto Ave
Fresno, CA 93722-4138
Phone (559) 244-0881

Other practice location 8

1105 E Yale Ave
Fresno, CA 93704-6238
Phone (559) 252-1738

Other practice location 9

320 E Warner Ave
Fresno, CA 93710-3711
Phone (559) 252-1613

Other practice location 10

643 E Sample Ave
Fresno, CA 93710-5428
Phone (559) 252-2204

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

LicenseStateTypeSpecialty
135745CAMDMarriage & Family Therapist
99129CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Group Homes, Inc. CurrentSince Nov 20, 2022 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 1, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 5, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients
Quality Group Homes, Inc. PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 9

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1891220943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 W BELMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937239556",
            "telephone_number": "559-277-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 W BELMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937239556",
            "telephone_number": "559-277-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-283-1072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Merced St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211721",
            "country_code": "US",
            "telephone_number": "559-840-4937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032123",
            "country_code": "US",
            "telephone_number": "559-252-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4862 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032873",
            "country_code": "US",
            "telephone_number": "559-252-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6250 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105620",
            "country_code": "US",
            "telephone_number": "559-431-7874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4165 E Perrin Rd",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936199118",
            "country_code": "US",
            "telephone_number": "559-297-6893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3267 W Rialto Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937224138",
            "country_code": "US",
            "telephone_number": "559-244-0881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 E Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937046238",
            "country_code": "US",
            "telephone_number": "559-252-1738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Warner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937103711",
            "country_code": "US",
            "telephone_number": "559-252-1613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 E Sample Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105428",
            "country_code": "US",
            "telephone_number": "559-252-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEPUTTE",
        "first_name": "SAMANTHA",
        "middle_name": "NORRIS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99129",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135745",
            "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 Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.