MAYARI SOCORRO HODGDON MA
NPI 1861915043
Counselor - Mental Health in Fresno, CA
About Mayari Socorro Hodgdon Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYARI SOCORRO HODGDON MA (NPI 1861915043) is an individual mental health provider in Fresno, California, licensed in California (94023482) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.
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 (PECOS)
Mayari Socorro Hodgdon Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mayari Hodgdon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 20
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 Mayari Hodgdon's NPI number?
The NPI number for Mayari Hodgdon is 1861915043. It was assigned to this individual provider in the NPPES registry on July 19, 2017.
Where is Mayari Hodgdon located?
Mayari Hodgdon practices at 4440 N 1st St, Fresno, CA 93726. The listed phone number is (559) 225-1102.
What is Mayari Hodgdon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mayari Hodgdon enrolled in Medicare?
Yes. Mayari Hodgdon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mayari Hodgdon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayari Hodgdon reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Mayari Hodgdon'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 Mayari Hodgdon was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mayari Socorro Hodgdon, MA · NPI 1861915043
Mental Health provider in Fresno, California. Individual provider, active in the CMS NPPES registry since July 19, 2017.
## Identity
- **NPI:** 1861915043 (Entity type: Individual)
- **Enumerated:** July 19, 2017
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 94023482 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4440 N 1ST ST, Fresno, CA 93726-2304
- **Phone:** (559) 225-1102
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1861915043) · Data from the CMS NPPES public registry.