Dalise Nantelle Marbury, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

142676 Issued in CA

Practice address

643 E Sample Ave
Fresno, CA 93710-5428

Phone

(559) 252-2204

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Center for New Directions, Inc.

  • Mental Health Counselor
  • Laguna Hills, CA
  • NPI 1578121190
  Medicare reassignment NPD
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1942849013
  NPD
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1992345797
  NPD
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1023657129
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Clovis, CA
  • NPI 1063051167
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1255970356
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1265072060
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1447899786
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1457990541
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1801436704
  NPD (past)
• Quality Group Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1851930952
  NPD (past)
• Stephen M Pumphrey Licensed Clinical Social Workers Inc

  • Clinical Social Worker
  • Laguna Hills, CA
  • NPI 1386862969
  NPD (past)

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1922578574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 E CLINTON WAY STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271526",
            "telephone_number": "559-252-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 E SAMPLE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105428",
            "telephone_number": "559-252-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2772 S Martin L King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937065345",
            "country_code": "US",
            "telephone_number": "559-265-4800 x20133",
            "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": "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": "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": "3894 E Gettysburg Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937260901",
            "country_code": "US",
            "telephone_number": "559-454-0822",
            "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": "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": "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": "6224 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937239556",
            "country_code": "US",
            "telephone_number": "559-885-2485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARBURY",
        "first_name": "DALISE",
        "middle_name": "NANTELLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109875",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Maravilla
• Luis Fernando Maravilla
• Maria Carmen Maravilla
• Sherry Ann Marberry, PT
• Susan Marble, LMFT
• Marc Antonio LMFT
• Brandon Marcelino-Valent
• Bernardina Marcelo
• Cecile Marcera, RN
• Michael Joseph Marchante, PA-C

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.