Individual provider Active NPI

Blessing A. Okoro Rellias, PH.D.

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1902087778
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 47068 Issued in CA
Practice address
12730 Heacock St
Suite #7
Moreno Valley, CA 92553-3070
Phone
(951) 221-3460
Fax
(951) 924-0250
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 47068 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

12730 Heacock St
Suite #7
Moreno Valley, CA 92553-3070

Mailing address

12730 Heacock St
Suite #7
Moreno Valley, CA 92553-3070
Phone (951) 221-3460

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC 47068CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integralife Health & Trauma Institute, LLC Mental Health Current Accepting new patients
Aeneas Treatment & Wellness Center Marriage & Family Therapist PastSince Oct 10, 2021 Accepting new patients

Locations

12730 Heacock St
Ste 7
Moreno Valley, CA 92553
Phone (951) 221-3460

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1902087778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST",
            "address_2": "SUITE #7",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533070",
            "telephone_number": "951-221-3460",
            "fax_number": "951-924-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 HEACOCK ST",
            "address_2": "SUITE #7",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533070",
            "telephone_number": "951-221-3460",
            "fax_number": "951-924-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO RELLIAS",
        "first_name": "BLESSING",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47068",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.