Individual provider Active NPI

G. Blair Rhodes, MFT

  • Marriage & Family Therapist
  • Mount Shasta, CA
National Provider Identifier
1861545550
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFCC#44077 Issued in CA
Practice address
618 N Mount Shasta Blvd
Mount Shasta, CA 96067-2235
Phone
(530) 925-4480
Fax
(530) 926-3450
NPI assigned
Jan 18, 2007
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFCC#44077 CA Primary

Addresses

Primary practice location

618 N Mount Shasta Blvd
Mount Shasta, CA 96067-2235

Mailing address

PO Box 122
Mount Shasta, CA 96067-0122
Phone (530) 925-4480

Other names 1

  • Geoffrey Blair Rhodes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFCC#44077CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Rhodes MFT Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1861545550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960670122",
            "telephone_number": "530-925-4480",
            "fax_number": "530-926-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N MOUNT SHASTA BLVD",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672235",
            "telephone_number": "530-925-4480",
            "fax_number": "530-926-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "G. BLAIR",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC#44077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEOFFREY",
            "last_name": "RHODES",
            "middle_name": "BLAIR",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.