MEDICARE: JANZ FAMILY THERAPY INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1659781392	OTHER	CA	ANTHEM MEDICAL
2	16597811391	OTHER	CA	ANTHEM MEDICAL
3	578531	OTHER	CA	MHN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134682008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANZ FAMILY THERAPY INCORPORATED

Provider Business Mailing Address
First Line	:	2037 W BULLARD AVE # 245
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-1233
Country	:	US
Telephone Number	:	559-786-8794
Fax Number	:

Provider Business Practice Location Address
First Line	:	1357 W SHAW AVE STE 100
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3619
Country	:	US
Telephone Number	:	559-825-1205
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HEATHER WALKER JANZ
Credential	:	LMFT
Telephone Number	:	209-202-8918

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	05/13/2026

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Directions to “JANZ FAMILY THERAPY INCORPORATED ” Practice Location

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