Individual provider Active NPI

Christina Marie Song

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1609451970
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4091 Issued in FL
Practice address
1203 Austin St Unit 1442
San Antonio, TX 78208-1186
Phone
(954) 801-6830
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204266 TX
Marriage & Family Therapist 106H00000X 2025024980 MO
Marriage & Family Therapist 106H00000X MT4091 FL Primary
Marriage & Family Therapist 106H00000X 37FL00248400 NJ
Mental Health Counselor 101YM0800X MH19309 FL
Marriage & Family Therapist 106H00000X MFT.0002777 CO

Addresses

Primary practice location

1203 Austin St Unit 1442
San Antonio, TX 78208-1186

Mailing address

1203 Austin St Unit 1442
San Antonio, TX 78208-1186
Phone (954) 801-6830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 3, 2024 through Oct 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH19309FLMDMental Health Counselor
MFT.0002777COMDMarriage & Family Therapist
MT4091FLMDMarriage & Family Therapist
2025024980MOMDMarriage & Family Therapist
37FL00248400NJMDMarriage & Family Therapist
204266TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ember & Bloom Therapy Co, PLLC Marriage & Family Therapist Current 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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1609451970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 AUSTIN ST UNIT 1442",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782081186",
            "telephone_number": "954-801-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AUSTIN ST UNIT 1442",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782081186",
            "telephone_number": "954-801-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204266",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2025024980",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4091",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FL00248400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19309",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.