Mind Bloom Family Therapy, Prof. Corp.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIND BLOOM FAMILY THERAPY, PROF. CORP.

Practice address

7922 Day Creek Blvd Apt 4318
Rancho Cucamonga, CA 91739-8590

Phone

(909) 459-9651

NPI assigned

Mar 14, 2025

Last updated

Jun 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Tapia, LMFTNPI 1427762632

Title

Owner

Phone

(909) 459-9651

Specialties & licenses 3

Addresses

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.

• Michelle Tapia, M.A., LMFT #117289

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
  • NPI 1427762632
  Authorized official Same address or phone

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1770383358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 DAY CREEK BLVD APT 4318",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 DAY CREEK BLVD APT 4318",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398590",
            "telephone_number": "909-459-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BLOOM FAMILY THERAPY, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-459-9651",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.