Melisa Aguirre
Individual provider Active NPI Marriage & Family Therapist · Fairfield, CA
NPI 1922745355 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1922745355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 132766 (CA)
- Practice address
- 2101 Courage Dr
Fairfield, CA 94533-6717 - Phone
- (707) 784-4900
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Solano
Practice addresses (Care Compare)
2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-2120
275 Beck Ave
Fairfield, CA 94533-6804
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251113004453 | CA | Practitioner - Marriage and Family Therapist | 2961993316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Solano | Current | Accepting new patients | |
| County of Solano | Current |
Accepting new patients | |
| County of Solano | Current |
Accepting new patients |
Locations
275 Beck Ave
#5210
Fairfield, CA 94533
Phone (707) 784-8571
2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11649 | CA | |
| Marriage & Family Therapist | 106H00000X | 132766 | CA | Yes |
Addresses
Primary practice location
2101 Courage Dr
Fairfield, CA 94533-6717
Mailing address
2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-4900
Other providers in Fairfield, CA
- Diane Mercedes Aguilar
- Jennifer Jasmine Aguilar
- Rosana M Aguilar
- Erika Aguilera
- Maria Aguiniga
- Chinonso Ahamefule
- Yusuf Haroon Ahmad
- Sumera Ahmed
- Diana Ahumada
- Kasey K Aikens
All providers in Fairfield, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.