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MRS. GUADALUPE VACA M.S. DEGREE
NPI 1366584336
Marriage & Family Therapist in Fresno, CA

Active since February 13, 2007Opted out of Medicare · through Jan 22, 2028
5588 N PALM AVE, FRESNO, CA 93704(559) 804-4599(559) 775-2556 Get Directions Write a Review

NPPES record last updated: March 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Guadalupe Vaca M.s. Degree NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GUADALUPE VACA M.S. DEGREE (NPI 1366584336) is an individual marriage & family therapist in Fresno, California, licensed in California (42966) and active in the NPI registry since February 2007. She has opted out of Medicare through January 22, 2028.

NPPES Registry Identity

NPI1366584336
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. GUADALUPE VACACredential: M.S. DEGREE
Location Address5588 N PALM AVEFresno, CA 93704-1913
Mailing Address5588 N Palm AveFresno, CA 93704-1913 · (559) 804-4599 · Fax (559) 775-2556
Phone(559) 804-4599
Fax(559) 775-2556
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMarch 3, 2024
NPPES CertifiedMarch 3, 2024
✔ NPI 1366584336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 42966
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 42966 (CA)
5588 N PALM AVE, Fresno, CA 93704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Guadalupe Vaca M.s. Degree has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024
Opt-Out In Effect ThroughJanuary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELESSE HEINSOHN
Behavior Technician
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 314-1128
ARAUJANAE FULLER
Behavior Technician
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 314-1128
ESMERALDA TISTA
Behavior Technician
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 314-1128
ELSA E QUINTANILLA LMFT
Marriage & Family Therapist
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 748-6840
ZOUA XIONG
Marriage & Family Therapist
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 527-5883
JADE STRACK
Behavior Technician
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 314-1128
KENNEDY JENNINGS
Behavior Technician
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 314-1128
KEREN CABRERA
Behavior Technician
5588 N PALM AVE
FRESNO, CA 93704
Fresno County (559) 314-1128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guadalupe Vaca's NPI number?

The NPI number for Guadalupe Vaca is 1366584336. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Guadalupe Vaca located?

Guadalupe Vaca practices at 5588 N Palm Ave, Fresno, CA 93704. The listed phone number is (559) 804-4599.

What is Guadalupe Vaca's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Guadalupe Vaca enrolled in Medicare?

No. Guadalupe Vaca has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Guadalupe Vaca accept?

Health plans from Providence Health Plan list Guadalupe Vaca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guadalupe Vaca was last updated on March 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.