Rexford Elledge Bloxsom-Carter, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

995 Potrero Ave
Building 80, Basement
San Francisco, CA 94110-2859

Phone

(415) 206-6824

NPI assigned

Aug 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1265712855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ELM ST",
            "address_2": "SUITE 212",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940708401",
            "telephone_number": "805-338-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE",
            "address_2": "BUILDING 80, BASEMENT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102859",
            "telephone_number": "415-206-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOXSOM-CARTER",
        "first_name": "REXFORD",
        "middle_name": "ELLEDGE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Blossom
• Jan Laureen Blouin, LVN
• Marshall Lewis Blount V, FNP PRACTITONER
• Michael Anthony Blount
• Lori Bloustein, LCSW
• Blue ABA California LLC
• Blue Humming Therapy
• Blue Mesa Health
• Blue Path Acupuncture
• Blue Rock Institute, a Psychological Corporation

• Mental Health Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.