Individual provider Active NPI

Benjamin Friday

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1336641125
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122263 Issued in CA
Practice address
1614 X St Ste a
Sacramento, CA 95818-2300
Phone
(916) 287-3430
NPI assigned
Mar 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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 122263 CA Primary

Addresses

Primary practice location

1614 X St Ste a
Sacramento, CA 95818-2300

Mailing address

24 Benavente
Irvine, CA 92606-8939

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
I20251023001937 CA Practitioner - Marriage and Family Therapist 1456849272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10642 Santa Monica Blvd
Suite 236
Los Angeles, CA 90025-4525

17875 Von Karman Ave
Suite 150And250
Irvine, CA 92614-4256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122263CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Wellness Spa Inc Marriage & Family Therapist CurrentSince Aug 5, 2025 Accepting new patients
Ivy Griffin Marriage & Family Therapist PastSince Nov 22, 2020 Accepting new patients

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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1336641125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BENAVENTE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 X ST STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182300",
            "telephone_number": "916-287-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.