Individual provider Active NPI

Jasmine De la Torre, AMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1992497036
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT134165 Issued in CA
Practice address
1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713
Phone
(559) 428-3176
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT134165 CA Primary

Addresses

Primary practice location

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713

Mailing address

1141 W Shaw Ave Ste 203
Fresno, CA 93711-3713
Phone (559) 428-3176

Other identifiers 1

IdentifierTypeStateIssuer
AMFT134165OtherCABBS

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
AMFT134165CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy L Brownstein, Licensed Clinical Social Worker, Inc. Marriage & Family Therapist CurrentSince May 28, 2023 Accepting new patients
California Mental Health and Psychology Center Inc CurrentSince Jul 18, 2024 Accepting new patients

Locations

1141 W Shaw Ave
Ste 203
Fresno, CA 93711
Phone (559) 428-3176

Organizations & group practices 2

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1992497036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113713",
            "telephone_number": "559-428-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113713",
            "telephone_number": "559-428-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE",
        "first_name": "JASMINE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT134165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "AMFT134165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.