Blossom Forth Family Counseling Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLOSSOM FORTH FAMILY COUNSELING INC

Practice address

710 S Myrtle Ave # 661
Monrovia, CA 91016-3423

Phone

(626) 622-5262

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Berenice Duran-Gomez, M.A., LMFT 129876NPI 1932477502

Title

LMFT, Clinical Director

Phone

(626) 622-5262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Berenice Duran-Gomez, M.A

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1932477502
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1205650397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S MYRTLE AVE # 661",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163423",
            "telephone_number": "626-622-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S MYRTLE AVE # 661",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163423",
            "telephone_number": "626-622-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM FORTH FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "DURAN-GOMEZ",
        "authorized_official_first_name": "BERENICE",
        "authorized_official_title_or_position": "LMFT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "626-622-5262",
        "authorized_official_credential": "M.A., LMFT 129876"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Block
• Allie Blodgett
• Samarah Blomberg
• Victoria Bloodgood
• Mia Bloomer
• Nicole Blue-Mabie
• Jalen Blue
• Lan-Ning Blue
• Meredith Blue
• Evelyn Blueford

• Marriage & Family Therapist in Monrovia, CA
• Providers in Monrovia, 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 Nov 14, 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.