Organization Active NPI

Yellow Rose Family Therapy

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1649011008
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
YELLOW ROSE FAMILY THERAPY
Practice address
4555 El Camino Real Ste J
Atascadero, CA 93422-2700
Phone
(805) 952-3223
Fax
(805) 703-5539
NPI assigned
Jun 1, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Monica Blandford, LMFTNPI 1639814916
Title
Director
Phone
(805) 952-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1649011008",
    "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",
            "fax_number": "805-703-5539"
        },
        {
            "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",
            "fax_number": "805-703-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW ROSE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BLANDFORD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-952-3223",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.