Individual provider Active NPI

Emily A Bloomquist, MFT

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1457774523
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
01414 Issued in NV
Practice address
527 Lander St # 204D
Reno, NV 89509-1552
Phone
(775) 686-9294
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0467 NV
Marriage & Family Therapist 106H00000X 01414 NV Primary

Addresses

Primary practice location

527 Lander St # 204D
Reno, NV 89509-1552

Mailing address

527 Lander St # 204D
Reno, NV 89509-1552
Phone (775) 686-9294

Other practice location 1

3740 Lakeside Dr
Suite 202
Reno, NV 89509-5275
Phone (775) 870-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01414NVMDMarriage & Family Therapist
0467NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Treatment Center LLC Past Accepting new patients

Organizations & group practices 1

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": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457774523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 LANDER ST # 204D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091552",
            "telephone_number": "775-686-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 LANDER ST # 204D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091552",
            "telephone_number": "775-686-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3740 Lakeside Dr",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895095275",
            "country_code": "US",
            "telephone_number": "775-870-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOMQUIST",
        "first_name": "EMILY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0467",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.