Blaine Witte, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC32868 Issued in CA

Practice address

15437 Anacapa Rd
Victorville, CA 92392-2458

Phone

(760) 985-9633

NPI assigned

Apr 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Blaine Kent Witte Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1497173553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293945",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923293945",
            "telephone_number": "760-985-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15437 ANACAPA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922458",
            "telephone_number": "760-985-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "BLAINE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAINE",
            "last_name": "WITTE",
            "middle_name": "KENT",
            "prefix": "MR.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keith Alan Wilson, P.A.
• Wimbledon Park Physical Therapy
• Jeremy L Winderweedle, PA-C
• Patsy Jane Winderweedle, LMFT
• Mary Winkler
• Mark Woerz Jr.
• Frank Wong, RPH
• Megan Wong
• Pui Yin Wong, RD
• Wonsik Bollmann

• Marriage & Family Therapist in Victorville, CA
• Providers in Victorville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.