Alicia Blackwood, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

82978 Issued in CA

Practice address

17155 Newhope St Ste L
Fountain Valley, CA 92708-4233

Phone

(714) 496-7789

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1659896942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 62ND ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926631903",
            "telephone_number": "714-496-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17155 NEWHOPE ST STE L",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084233",
            "telephone_number": "714-496-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "ALICIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billing Solutions Network
• Devin K Binder, MD
• Biodynamics Physical Therapy
• Ian O Bishop, RBT
• Silje Mork Bjorndal, M.S.,R.D.
• Jeanessa Blair
• BMV Investment Inc. (MB Laser Therapy)
• BMV Investment LLC (MB Laser Therapy)
• Boctor Victor F Said (Accurate Healthcare Supplies)
• Olivia Bodea, RDHAP

• Marriage & Family Therapist in Fountain Valley, CA
• Providers in Fountain Valley, 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 Aug 7, 2017; 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.