Individual provider Active NPI

Cynthia Bloore, LMFT

  • Marriage & Family Therapist
  • Northridge, CA
National Provider Identifier
1225560931
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121270 Issued in CA
Practice address
11239 Tampa Ave Ste 206
Northridge, CA 91326-3781
Phone
(805) 341-8409
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 95795 CA
Marriage & Family Therapist 106H00000X 121270 CA Primary

Addresses

Primary practice location

11239 Tampa Ave Ste 206
Northridge, CA 91326-3781

Mailing address

4109 Angela St
Simi Valley, CA 93063-2901
Phone (805) 341-8409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260324004403 TX Practitioner - Marriage and Family Therapist 9436633716 Reassigns benefits to 1 organization
I20260407000214 CA Practitioner - Marriage and Family Therapist 9436633716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121270CAMDMarriage & Family Therapist
95795CAMDMarriage & Family Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1225560931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 ANGELA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632901",
            "telephone_number": "805-341-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 TAMPA AVE STE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263781",
            "telephone_number": "805-341-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOORE",
        "first_name": "CYNTHIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95795",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.