Betty Blanc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108579 Issued in CA

Practice address

1341 N Escondido Blvd
Escondido, CA 92026-2507

Phone

(760) 317-9117

NPI assigned

Mar 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1619275435
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1588105993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N ESCONDIDO BLVD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262507",
            "telephone_number": "760-317-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N ESCONDIDO BLVD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920262507",
            "telephone_number": "760-317-9117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 Montezuma St",
            "address_purpose": "LOCATION",
            "city": "Rio Vista",
            "state": "CA",
            "postal_code": "945711622",
            "country_code": "US",
            "telephone_number": "707-374-5243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 Montezuma St",
            "address_purpose": "LOCATION",
            "city": "Rio Vista",
            "state": "CA",
            "postal_code": "945711622",
            "country_code": "US",
            "telephone_number": "707-374-5243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Roland Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946212034",
            "country_code": "US",
            "telephone_number": "510-746-2800",
            "fax_number": "510-746-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANC",
        "first_name": "BETTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "108579",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Black, OTD, OTR/L
• Sasha Blades
• Bob E. Blake, M.D.
• Janell Akilah Blake, APCC
• Joshua C Blalock
• Georgina Marie Blanc, O.D.
• Breanna Blancher, DPT
• Jeanette Bland, IMF
• Susan Marie Blansett-McAllister, LCSW
• Penny Annette Blazej, LCSW

• Marriage & Family Therapist in Escondido, CA
• Providers in Escondido, 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 Sep 23, 2020; 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.