Katrina Michelle Amezcua, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7907 Issued in CA

Practice address

1357 W Shaw Ave Ste 100
Fresno, CA 93711-3619

Phone

(559) 825-1205

NPI assigned

Jul 15, 2020

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janz Family Therapy Incorporated

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1134682008
  NPD
• Central Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1255218905
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1952919979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W BULLARD AVE # 245",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111200",
            "telephone_number": "559-825-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113619",
            "telephone_number": "559-825-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZCUA",
        "first_name": "KATRINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Premier Health Organization (SYNERGY HomeCare of Fresno)
• American Skin and Cancer Center PC
• American Yellow Cab
• Olivia Amesquita
• Denise Amezcua, PA-C
• Samuria Amezcua
• Maria Luz Amezola, LMFT
• Joel Amezquita, MD
• Amg Health Care Facility, Inc.
• Amg Residential Care Homes, Inc (The Golden Years Residential Care Home For The Elderly/ RCHE)

• Mental Health Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.