Active NPI
Balance and Bloom Family Therapy Inc.
- Marriage & Family Therapist
- Chula Vista, CA
National Provider Identifier
1811611510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- BALANCE AND BLOOM FAMILY THERAPY INC.
- Practice address
- 1437 Stanislaus Dr
Chula Vista, CA 91913-1479 - Phone
- (760) 855-7653
- NPI assigned
- Sep 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Y Malone, MA, LMFT
- Title
- Founder
- Phone
- (619) 780-2822
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1437 Stanislaus Dr
Chula Vista, CA 91913-1479
Mailing address
1437 Stanislaus Dr
Chula Vista, CA 91913-1479
Phone (760) 855-7653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94900 | Other | CA | MENTAL HEALTH SERVICES |
Other names 1
- Balance and Bloom Therapy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | balanceandbloomtherapy@yahoo.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Chula Vista, CA
- NPI 1780322255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1811611510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 STANISLAUS DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131479",
"telephone_number": "760-855-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 STANISLAUS DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131479",
"telephone_number": "760-855-7653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCE AND BLOOM FAMILY THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "619-780-2822",
"authorized_official_credential": "MA, LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH SERVICES",
"identifier": "94900",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "balanceandbloomtherapy@yahoo.com",
"affiliation": "N",
"endpointDescription": "Secure email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1437 Stanislaus Dr",
"city": "Chula Vista",
"state": "CA",
"country_code": "US",
"postal_code": "919131479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Balance and Bloom Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.