Laura Alice Slagle, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83605 Issued in CA

Practice address

6276 N 1St St Ste 103
Fresno, CA 93710-5400

Phone

(559) 530-2822

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Laura Alice Derrick Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Olive Leaf Family Therapy IncGroup PAC ID 7810428851, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Olive Leaf Family Therapy, Inc

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1447816079

  CA, Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Dwight W Sievert MD Inc

  • Psychiatry Physician
  • Fresno, CA
  • NPI 1972509214
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1922255199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST",
            "address_2": "SUITE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-530-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 N 1ST ST STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105400",
            "telephone_number": "559-530-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6276 N 1st St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105400",
            "country_code": "US",
            "telephone_number": "559-712-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "LAURA",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "83605",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DERRICK",
            "middle_name": "ALICE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Edward Skardoutos, CP
• Shaun P Skierka, RN
• Diana Skolfield
• Joann Freddie Skoufis, PNP
• Dianne Kay Skourup-Rich, AU.D.
• Hope Glenn Slate, FNP-BC
• Julie Slaughter
• Crisfeli Slauson
• Sleep Care Centers
• Sleep Diagnostic Express LLC

• All providers in Fresno, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.