Individual provider Active NPI

Rhonda Kay Bennett, M.S., LMFT

  • Marriage & Family Therapist
  • Indio, CA
National Provider Identifier
1205964384
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 42430 Issued in CA
Practice address
81880 Doctor Carreon Blvd Ste B207
Indio, CA 92201-5585
Phone
(323) 696-4640
NPI assigned
Mar 1, 2007
Last updated
Jul 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 42430 CA Primary

Addresses

Primary practice location

81880 Doctor Carreon Blvd Ste B207
Indio, CA 92201-5585

Mailing address

81880 Doctor Carreon Blvd Ste B207
Indio, CA 92201-5585
Phone (323) 696-4640

Other names 1

  • Rhonda Kay Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104003139 CA Practitioner - Marriage and Family Therapist 6901396456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10008 National Blvd
Suite 236
Los Angeles, CA 90034-3809

6130 Catherine Dr
Milford, OH 45150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 42430CAMDMarriage & Family Therapist
42430CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Wellness Spa Inc Marriage & Family Therapist CurrentSince Aug 5, 2025 Accepting new patients
Downing Medical, Inc PastSince Jul 16, 2023 Accepting new patients

Locations

10008 National Blvd
Los Angeles, CA 90034
Phone (310) 806-5386

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1205964384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81880 DOCTOR CARREON BLVD STE B207",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015585",
            "telephone_number": "323-696-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81880 DOCTOR CARREON BLVD STE B207",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015585",
            "telephone_number": "323-696-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RHONDA",
        "middle_name": "KAY",
        "credential": "M.S., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "JOHNSON",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.