Block Counseling, Family & Child Therapy Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMFT46488 Issued in CA

Legal business name

BLOCK COUNSELING, FAMILY & CHILD THERAPY INC.

Practice address

71777 San Jacinto Dr Ste 204
Rancho Mirage, CA 92270-4457

Phone

(760) 345-0120

Fax

(760) 345-3166

NPI assigned

Jun 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charlene Block, LMFT 46488

Title

President

Phone

(760) 345-0120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1104318211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71777 SAN JACINTO DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704457",
            "telephone_number": "760-345-0120",
            "fax_number": "760-345-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71777 SAN JACINTO DR STE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704457",
            "telephone_number": "760-345-0120",
            "fax_number": "760-345-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOCK COUNSELING, FAMILY & CHILD THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-345-0120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT 46488"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT46488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841673530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Blake, H.I.S.
• Burton Charles Blaurock, O.D.
• BLC Mirage Inn, L.P. (Brookdale Mirage Inn)
• Beverly Belle Blessing, FNP, PHD
• Jonathan William Blevins, M.D.
• Blood & Cancer Genetics Institute
• Randy Bloom, FNP-BC
• Richard Stevan Bloom, ASW
• Kimberly Ann Bluff, FNP
• Bobby S. Bhasker Rao MD Inc

• Community/Behavioral Health Agency in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.