MIAH LOUISE BAZZANO LMFT
NPI 1407641004
Marriage & Family Therapist in Fresno, CA

Active since April 14, 2025PECOS EnrolledAccepts Medicare Assignment
4785 N 1ST ST, FRESNO, CA 93726(559) 448-5242 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miah Louise Bazzano Lmft NPPES

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

MIAH LOUISE BAZZANO LMFT (NPI 1407641004) is an individual marriage & family therapist in Fresno, California and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407641004
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMIAH LOUISE BAZZANOCredential: LMFT
Location Address4785 N 1ST STFresno, CA 93726-0500
Mailing Address18262 N Shore DrHidden Valley Lake, CA 95467-8624 · (707) 350-4323
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2025
NPPES CertifiedApril 13, 2025
NPI 1407641004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
4785 N 1ST ST, Fresno, CA 93726

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miah Louise Bazzano Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587176417
PECOS Enrollment IDI20250625002464
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Pediatrics
4785 N 1ST ST
FRESNO, CA 93726
Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Social Worker (Clinical)
4785 N 1ST ST
FRESNO, CA 93726
Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Pharmacist
4785 N 1ST ST
FRESNO, CA 93726
Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Clinical Nurse Specialist (Psychiatric/Mental Health)
4785 N 1ST ST
FRESNO, CA 93726

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 Miah Bazzano's NPI number?

The NPI number for Miah Bazzano is 1407641004. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Miah Bazzano located?

Miah Bazzano practices at 4785 N 1st St, Fresno, CA 93726. The listed phone number is (559) 448-5242.

What is Miah Bazzano's specialty?

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

Is Miah Bazzano enrolled in Medicare?

Yes. Miah Bazzano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Miah Bazzano was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.