LIZETTE BARRIENTOS, Ph.D — NPI 1174020796 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1174020796

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TF0200X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic

Box 32 Service Location & ZIP+4

24511 W JAYNE AVE, COALINGA, CA, 93210-9503

✓ 9-Digit EDI 837 ZIP+4 (93210-9503)

Practice Phone & Referral Fax

(559) 934-8543

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174020796 (LIZETTE BARRIENTOS, Ph.D) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174020796` (NPI-1 Individual Practitioner)
Provider / Legal Name	LIZETTE BARRIENTOS, Ph.D
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic NUCC Code: `103TF0200X` (Psychologist, Forensic)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	24511 W JAYNE AVE, COALINGA, CA, 93210-9503
Practice Telephone / Fax	Tel: (559) 934-8543
Administrative Mailing Address	2910 S ASPEN ST, VISALIA, CA, 93277-6405
Enumeration & Last Sync	Enumerated: 2018-04-10 \| CMS Record Updated: 2018-04-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

24511 W JAYNE AVE, COALINGA, CA, 93210-9503

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Plain-English Taxonomy & CMS Crosswalk (103TF0200X)

What Does Taxonomy Code 103TF0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TF0200X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Forensic for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LIZETTE BARRIENTOS, Ph.D)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: N/A \| License: `Verified` \| Primary: Secondary
`103TF0200X` — Psychologist, Forensic Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Forensic	State: CA \| License: `PSY28963` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LIZETTE BARRIENTOS, Ph.D (NPI #1174020796)