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
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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

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.

Medicare enrollment records 1

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Rhonda Kay Johnson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2023.

{
    "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.