Organization Active NPI

Bloom Family Therapist Group, Inc.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1801676473
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLOOM FAMILY THERAPIST GROUP, INC.
Practice address
3511 Camino del Rio S Ste 500
San Diego, CA 92108-4022
Phone
(619) 500-1843
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Erica Topete, LMFTNPI 1871977603
Title
Licensed Therapist / Founder
Phone
(619) 500-1843

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3511 Camino del Rio S Ste 500
San Diego, CA 92108-4022

Mailing address

PO Box 1494
Imperial Beach, CA 91933-1494
Phone (619) 500-1843

National Provider Directory

National Provider Directory

Locations

3511 Camino del Rio S
Ste 500
San Diego, CA 92108
Phone (619) 282-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1801676473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1494",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919331494",
            "telephone_number": "619-500-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 CAMINO DEL RIO S STE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084022",
            "telephone_number": "619-500-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM FAMILY THERAPIST GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "TOPETE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "LICENSED THERAPIST / FOUNDER",
        "authorized_official_telephone_number": "619-500-1843",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.