Individual provider Active NPI

Monica Blandford, LMFT

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1639814916
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146445 Issued in CA
Practice address
4555 El Camino Real Ste J
Atascadero, CA 93422-2700
Phone
(805) 952-3223
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 146445 CA Primary

Addresses

Primary practice location

4555 El Camino Real Ste J
Atascadero, CA 93422-2700

Mailing address

4515 Cayucos Ave
Atascadero, CA 93422-2707
Phone (805) 952-3223

Other practice location 1

6717 Morro Rd
Atascadero, CA 93422-4137
Phone (805) 952-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240529002328 CA Practitioner - Marriage and Family Therapist 1658713102 Reassigns benefits to 2 organizations
I20240917001519 DC Practitioner - Marriage and Family Therapist 1658713102 Reassigns benefits to 1 organization
I20251023002457 WI Practitioner - Marriage and Family Therapist 1658713102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Rose Family Therapy Marriage & Family Therapist CurrentSince Jun 9, 2024 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Aug 1, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 6, 2024 Accepting new patients
Grow Healthcare Group PC Professional CurrentSince Apr 26, 2024 Accepting new patients

Locations

4555 El Camino Real
Ste J
Atascadero, CA 93422
Phone (805) 952-3223

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 4

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1639814916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CAYUCOS AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222707",
            "telephone_number": "805-952-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 EL CAMINO REAL STE J",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222700",
            "telephone_number": "805-952-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6717 Morro Rd",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934224137",
            "country_code": "US",
            "telephone_number": "805-952-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANDFORD",
        "first_name": "MONICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.