Xiomara Iraheta Adcock, LMFT
Individual provider Active NPI Marriage & Family Therapist · Fresno, CA
NPI 1992188502 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1992188502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 130227 (CA)
- Practice address
- 2560 W Shaw LN Ste 104
Fresno, CA 93711-2777 - Phone
- (559) 443-4800
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96052 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Current |
Accepting new patients | |
| Fresno County Superintendent of Schools | Current |
Accepting new patients | |
| Fresno County Superintendent of Schools | Past |
Accepting new patients |
Locations
4939 E Yale Ave
Fresno, CA 93727
Phone (559) 443-4820
2440 Tulare St
Ste 200
Fresno, CA 93721
Phone (559) 265-3089
2560 W Shaw Ln
Ste 104
Fresno, CA 93711
Phone (559) 431-1086
2020 High St
Ste E
Selma, CA 93662
Phone (559) 443-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96052 | CA | |
| Marriage & Family Therapist | 106H00000X | 130227 | CA | Yes |
| Counselor | 101Y00000X |
Addresses
Primary practice location
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Mailing address
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Phone (559) 443-4800
Other practice location 1
2020 High St Ste E
Selma, CA 93662-3518
Phone (559) 443-4800
Other practice location 2
4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 443-4800
Other providers in Fresno, CA
- Stephanie Renee Adanalian
- Adanna Ikedilo MD Inc
- Indira Devi Adapa
- Kwabena Adarkwah
- Leo Adcock
- Addiction Intervention Resources
- Addiction Research and Treatment, Inc
- Addiction Research and Treatment, Inc
- Addiction Research and Treatment, Inc
- Jamie Addington
All providers in Fresno, 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 Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.