Elisa Rachel Blair, LMFT
Individual provider Active NPI Marriage & Family Therapist · Phoenix, AZ
NPI 1851860423 · NPPES record last updated Sep 28, 2022
Key facts
- NPI
- 1851860423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-15743 (AZ)
- Practice address
- 3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806 - Phone
- (602) 230-7373
- Fax
- (602) 257-8029
- NPI assigned
- Nov 13, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 12, 2024 through Feb 12, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-15743 | AZ | MD | Marriage & Family Therapist |
| 110335 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 110335 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT-15743 | AZ | Yes |
Addresses
Primary practice location
3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806
Mailing address
3101 N Central Ave Ste 500
Phoenix, AZ 85012-2639
Phone (602) 230-7373
Other practice location 1
4001 Mission Oaks Blvd Ste I
Camarillo, CA 93012-5121
Phone (805) 485-6114
Other names
- Elisa Rachel Garcia
Other providers in Phoenix, AZ
- Sonya A Bladow
- Skye Lauren Blaesing
- Dennis Roger Blaha
- Mary Joanne Blaha
- Linda Ann Blaine
- James L Blair
- Janis E Blair
- Jason Blair
- Joey Dawn Blair
- Lauren Blair
All providers in Phoenix, AZ · Marriage & Family Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.