Individual provider Active NPI

Susan Blodgett, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1295569887
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148352 Issued in CA
Practice address
16959 Bernardo Center Dr Ste 110
San Diego, CA 92128-2494
Phone
(619) 281-6414
Fax
(619) 359-4326
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 148352 CA Primary

Addresses

Primary practice location

16959 Bernardo Center Dr Ste 110
San Diego, CA 92128-2494

Mailing address

16959 Bernardo Center Dr Ste 110
San Diego, CA 92128-2494
Phone (619) 281-6414

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
I20250423002547 CA Practitioner - Marriage and Family Therapist 3274058151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope for HealersGroup PAC ID 1052753688, 2 clinicians
Sarah Ray Clinical Psychologist IncGroup PAC ID 7214423664, 2 clinicians

Practice addresses (Care Compare)

12396 World Trade Dr
Suite 204
San Diego, CA 92128-3789
Phone (760) 705-4641

16959 Bernardo Ctr Dr
Suite 110
San Diego, CA 92128-2494
Phone (619) 281-6414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
148352CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for Healers Marriage & Family Therapist CurrentSince Feb 14, 2025 Accepting new patients
Sarah Ray Clinical Psychologist Inc Marriage & Family Therapist CurrentSince Dec 21, 2025 Accepting new patients

Locations

12396 World Trade Dr
Ste 204
San Diego, CA 92128
Phone (619) 327-9317

16959 Bernardo Center Dr
Ste 110
San Diego, CA 92128
Phone (619) 281-6414

11650 Iberia Pl
Ste 135
San Diego, CA 92128
Phone (760) 705-4641

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1295569887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16959 BERNARDO CENTER DR STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282494",
            "telephone_number": "619-281-6414",
            "fax_number": "619-359-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16959 BERNARDO CENTER DR STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282494",
            "telephone_number": "619-281-6414",
            "fax_number": "619-359-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "SUSAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.