Individual provider Active NPI

Michelle Renee Zuckerman, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1891948691
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT84298 Issued in CA
Practice address
1680 W Shaw Ave Ste 100
Fresno, CA 93711-3504
Phone
(209) 689-8559
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 LMFT84298 CA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1680 W Shaw Ave Ste 100
Fresno, CA 93711-3504

Mailing address

1680 W Shaw Ave Ste 100
Fresno, CA 93711-3504
Phone (209) 689-8559

Other practice location 1

1520 Eureka Rd Ste 102
Roseville, CA 95661-2849
Phone (209) 689-8559

Other practice location 2

540 Park Ave
Clovis, CA 93611-6902
Phone (916) 572-7468

Other names 1

  • Michelle Renee Bjarnarson Former name

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
LMFT84298CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Community Support Services, Inc. PastSince Jan 1, 2021 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1891948691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113504",
            "telephone_number": "209-689-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113504",
            "telephone_number": "209-689-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Eureka Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612849",
            "country_code": "US",
            "telephone_number": "209-689-8559",
            "fax_number": "916-462-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116902",
            "country_code": "US",
            "telephone_number": "916-572-7468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT84298",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BJARNARSON",
            "middle_name": "RENEE",
            "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 Jun 10, 2026; 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.