Individual provider Active NPI

Ivette Villanueva-Guevara, LMFT

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1962923698
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122925 Issued in CA
Practice address
1830 S Central St
Visalia, CA 93277-4418
Phone
(559) 730-2969
Fax
(559) 730-2991
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97984 CA
Behavior Technician 106S00000X
Marriage & Family Therapist 106H00000X 122925 CA Primary

Addresses

Primary practice location

1830 S Central St
Visalia, CA 93277-4418

Mailing address

1830 S Central St
Visalia, CA 93277-4418
Phone (559) 730-2969

Other practice location 1

311 N Douty St
Hanford, CA 93230
Phone (559) 583-9300

Other practice location 2

311 N Douty St
Hanford, CA 93230
Phone (559) 583-9300

Other practice location 3

16600 Sherman Way Ste 178
Van Nuys, CA 91406-3875
Phone (818) 235-1414

Other names 1

  • Ivette Villanueva 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
122925CAMDMarriage & Family Therapist
97984CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulare County Office of Education CurrentSince Oct 29, 2023 Accepting new patients

Locations

1830 S Central St
Visalia, CA 93277
Phone (559) 730-2969

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1962923698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Douty St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "93230",
            "country_code": "US",
            "telephone_number": "559-583-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 N Douty St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "93230",
            "country_code": "US",
            "telephone_number": "559-583-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 Sherman Way Ste 178",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063875",
            "country_code": "US",
            "telephone_number": "818-235-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA-GUEVARA",
        "first_name": "IVETTE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97984",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVETTE",
            "last_name": "VILLANUEVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.