MRS. MICHELLE RENEE MCCOY L.M.F.T.
NPI 1649395419
Marriage & Family Therapist in Fresno, CA

Active since March 20, 2007PECOS Enrolled
1300 E SHAW AVE STE 172, FRESNO, CA 93710(559) 484-2021(559) 554-9711 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2020, Jul 23, 2018 (2 updates tracked since 2018).

About Mrs. Michelle Renee Mccoy L.m.f.t. NPPES

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

MRS. MICHELLE RENEE MCCOY L.M.F.T. (NPI 1649395419) is an individual marriage & family therapist in Fresno, California, licensed in California (80212) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1649395419
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. MICHELLE RENEE MCCOYCredential: L.M.F.T.
Location Address1300 E SHAW AVE STE 172Fresno, CA 93710
Mailing Address1300 E Shaw Ave Ste 172Fresno, CA 93710-7911 · (559) 554-9710 · Fax (559) 554-9711
Fax(559) 554-9711
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 20, 2007
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1649395419 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 · 80212
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 49307 (CA)
1300 E SHAW AVE STE 172, Fresno, CA 93710

Other Names 1

Former Name (1)Ms. Michelle Renee Williams Mft Intern

Secondary Practice Location 1

Location 13133 N. Millbrook AveFresno, CA 93703 · Phone (559) 600-6708 · Fax (559) 600-7664

Other Identifiers 1

Medicaid1851756092CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michelle Renee Mccoy L.m.f.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830680941
PECOS Enrollment IDI20251117003757
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Mccoy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marriage & Family Therapist
1300 E SHAW AVE STE 149
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
1300 E SHAW AVE STE 172
FRESNO, CA 93710
Counselor (Mental Health)
1300 E SHAW AVE STE 172
FRESNO, CA 93710
Counselor (Mental Health)
1300 E SHAW AVE STE 172
FRESNO, CA 93710

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 Michelle Mccoy's NPI number?

The NPI number for Michelle Mccoy is 1649395419. It was assigned to this individual provider in the NPPES registry on March 20, 2007. The provider is also known as Ms. Michelle Renee Williams Mft Intern.

Where is Michelle Mccoy located?

Michelle Mccoy practices at 1300 E Shaw Ave Ste 172, Fresno, CA 93710. The listed phone number is (559) 484-2021.

What is Michelle Mccoy's specialty?

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

Is Michelle Mccoy enrolled in Medicare?

Yes. Michelle Mccoy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Mccoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Mccoy reassigns Medicare benefits to Mrm Family Counseling Services, Inc. (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Mccoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Mccoy was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.