Sharayza Rachael Blakemore, LMFT, MBA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150151 Issued in CA

Practice address

3491 Concours
Ontario, CA 91764-5916

Phone

(909) 284-4504

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blakemore Inspired Wellness, Marriage and Family Services, PC.

  • Mental Health Counselor
  • Ontario, CA
  • NPI 1164394060
  NPD Authorized official
• Diamond Cultural Healing & Consulting Center

  • Marriage & Family Therapist
  • Tustin, CA
  • NPI 1245791565
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1154960367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 ROYAL PALM LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037077",
            "telephone_number": "909-441-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 CONCOURS",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645916",
            "telephone_number": "909-284-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12821 Newport Ave",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802711",
            "country_code": "US",
            "telephone_number": "714-910-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "SHARAYZA",
        "middle_name": "RACHAEL",
        "credential": "LMFT, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianna L Blackstone, AMFT
• Crystal Lynne Blake-Huey
• Juane' Trinette Blake
• Rhonda M Blake, N/A
• Blakemore Inspired Wellness, Marriage and Family Services, PC.
• Alexandria Blakeney
• Brian Blanco
• Debra Ann Blanco, PA-C
• Silvia Eugenia Blanco
• Stephanie Blanco

• Marriage & Family Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.