MARIAH JOHNAEV BETANCOURT LMFT
NPI 1699357962
Marriage & Family Therapist in Fresno, CA
About Mariah Johnaev Betancourt Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH JOHNAEV BETANCOURT LMFT (NPI 1699357962) is an individual marriage & family therapist in Fresno, California, licensed in California (LMFT125019) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mariah Johnaev Betancourt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mariah Betancourt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Palo Alto, CA 94303
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Wellmindonline Ca Licensed Clinical Social Worker Prof Corp
- 54 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mariah Betancourt's NPI number?
The NPI number for Mariah Betancourt is 1699357962. It was assigned to this individual provider in the NPPES registry on April 26, 2021.
Where is Mariah Betancourt located?
Mariah Betancourt practices at 4812 E Butler Ave, Fresno, CA 93727. The listed phone number is (559) 453-8089.
What is Mariah Betancourt's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mariah Betancourt enrolled in Medicare?
Yes. Mariah Betancourt 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.
Which organizations bill Medicare for Mariah Betancourt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariah Betancourt reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Wellmind Online Ca Licensed Clinical Social Worker Prof Corp (Palo Alto, CA). Each 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 Mariah Betancourt'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 Mariah Betancourt was last updated on October 16, 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.
# Mariah Johnaev Betancourt, LMFT · NPI 1699357962
Marriage & Family Therapist provider in Fresno, California. Individual provider, active in the CMS NPPES registry since April 26, 2021.
## Identity
- **NPI:** 1699357962 (Entity type: Individual)
- **Enumerated:** April 26, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT125019 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4812 E BUTLER AVE, Fresno, CA 93727-5014
- **Phone:** (559) 453-8089
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA); Wellmind Online Ca Licensed Clinical Social Worker Prof Corp (NPI 1447871272, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 16, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1699357962) · Data from the CMS NPPES public registry.