EZERELI LEDESMA GOMEZ (NPI# 1497372247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497372247 |
| Entity Type | Individual |
| Full Name | EZERELI LEDESMA GOMEZ |
| Practice Address |
496 S Barton Ave Fresno CA 93702-2985 |
| Mailing Address |
3433 W Shaw Ave Ste 102 Fresno CA 93711-3229 |
| Practice Telephone | 5598604422 |
| Mailing Telephone | 5593609195 |
| Mailing Fax Number | 5595700118 |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4411 E Kings Canyon Rd, Fresno, CA 937023604 | 5593532055 | |
| 2934 N Fresno St, Fresno, CA 937031123 | 5595496697 | |
| 3433 W Shaw Ave # 107, Fresno, CA 937113229 | 5594762115 | |
| 2416 W Shaw Ave Ste 114, Fresno, CA 937113303 | 5593743990 |
| Street Address |
496 S BARTON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-2985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619370004 | Phyllis Rodriguez | Licensed Psychiatric Technician | 496 S Barton Ave, Fresno, CA 93702-2985 | 2014-09-30 |
| 1821698051 | Areli Quinilla | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-10-27 |
| 1447859889 | Luis Omar Rodriguez | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-10-17 |
| 1225644297 | Guadalupe Gil | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-09-16 |
| 1790390714 | Kiranjeet Bhinder | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-09-15 |
| 1184238909 | Luis Alberto Suarez-lopez | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-08-31 |
| 1225649197 | Domonique E Soto | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-08-13 |
| 1992321384 | Saylene A Servin | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-06-22 |
| 1346862158 | Jason Alan Cavataio | Licensed Vocational Nurse | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-05-14 |
| 1194353441 | Noris Martinez | Counselor | 496 S Barton Ave, Fresno, CA 93702-2985 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540141 | Nina Coffin | Marriage & Family Therapist | 5151 N Palm Ave Ste 720, Fresno, CA 93704-2221 | 2020-08-29 |
| 1205464468 | Anahi Arias Aranda | Marriage & Family Therapist | 3645 W Shaw Ave # 101, Fresno, CA 93711-3206 | 2020-03-31 |
| 1396396800 | Sarah Settle | Marriage & Family Therapist | 1744 E Nees Ave, Fresno, CA 93720-2301 | 2019-09-25 |
| 1285192096 | Antionette Brookins & Associates, Corp | Marriage & Family Therapist | 5275 N 1st St, Fresno, CA 93710-7007 | 2019-03-11 |
| 1285107771 | Timothy Childs | Marriage & Family Therapist | 4928 E Clinton Way #108, Fresno, CA 93727-1526 | 2019-01-07 |
| 1922578574 | Dalise N Smith | Marriage & Family Therapist | 6224 W Belmont Ave, Fresno, CA 93723-9556 | 2018-11-27 |
| 1265908560 | Diana Hernandez-zamarripa | Marriage & Family Therapist | 1350 Van Ness Ave, Fresno, CA 93721-1714 | 2018-10-15 |
| 1093296279 | Emma Shaljyan | Marriage & Family Therapist | 2025 E Dakota Ave Ste 200, Fresno, CA 93726-4804 | 2018-08-24 |
| 1063993756 | Destination.hope Counseling & Enrichment Center | Marriage & Family Therapist | 5756 N Marks Ave Ste 156, Fresno, CA 93711-2171 | 2018-08-22 |
| 1760970412 | Ariel A Floriano | Marriage & Family Therapist | 2002 N Fine Ave Ste 101, Fresno, CA 93727-1511 | 2018-04-27 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.