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MARC C ANTONIO
NPI 1679043442
Marriage & Family Therapist in Fresno, CA

Active since December 04, 2018PECOS Enrolled
1300 W SHAW AVE STE 3A, FRESNO, CA 93711(559) 245-2468 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Aug 8, 2022, Jul 14, 2022 and 3 more (6 updates tracked since 2018).

About Marc C Antonio NPPES

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

MARC C ANTONIO (NPI 1679043442) is an individual marriage & family therapist in Fresno, California, licensed in California (LMFT124951) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679043442
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMARC C ANTONIO
Location Address1300 W SHAW AVE STE 3AFresno, CA 93711-3712
Mailing Address373 E Shaw Ave # 135Fresno, CA 93710-7609 · (559) 250-4287
Phone(559) 245-2468
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 4, 2018
Last NPPES UpdateApril 28, 20256 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1679043442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT124951
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.
1300 W SHAW AVE STE 3A, Fresno, CA 93711
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc C Antonio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638653439
PECOS Enrollment IDI20260319002419
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 3

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

MARC ANTONIO LMFT
Marriage & Family Therapist
1300 W SHAW AVE STE 3A
FRESNO, CA 93711
Fresno County (559) 245-2468
ELIZABETH CHOUA MOUAVANGSOU LMFT
Marriage & Family Therapist
1300 W SHAW AVE STE 3A
FRESNO, CA 93711
Fresno County (559) 840-8800
BLOSSOM GROWTH FAMILY THERAPY, INC
Marriage & Family Therapist
1300 W SHAW AVE STE 3A
FRESNO, CA 93711
Fresno County (559) 840-8800

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 Marc Antonio's NPI number?

The NPI number for Marc Antonio is 1679043442. It was assigned to this individual provider in the NPPES registry on December 4, 2018.

Where is Marc Antonio located?

Marc Antonio practices at 1300 W Shaw Ave Ste 3A, Fresno, CA 93711. The listed phone number is (559) 245-2468.

What is Marc Antonio's specialty?

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

Is Marc Antonio enrolled in Medicare?

Yes. Marc Antonio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marc Antonio was last updated on April 28, 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.