Active NPI
David Blasy, LMFT
- Marriage & Family Therapist
- Indio, CA
National Provider Identifier
1922420819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120764
- Practice address
- 47825 Oasis St
Indio, CA 92201-6950 - Phone
- (760) 863-8455
- NPI assigned
- Jan 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76793 | CA | |
| Marriage & Family Therapist | 106H00000X | 120764 | CA | Primary |
Addresses
Primary practice location
47825 Oasis St
Indio, CA 92201-6950
Mailing address
47825 Oasis St
Indio, CA 92201-6950
Other practice location 1
14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone (760) 393-3443
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76793 | CA | MD | Mental Health Counselor |
| 120764 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1922420819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47825 OASIS ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922016950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47825 OASIS ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922016950",
"telephone_number": "760-863-8455"
}
],
"practiceLocations": [
{
"address_1": "14320 Palm Dr",
"address_purpose": "LOCATION",
"city": "Desert Hot Springs",
"state": "CA",
"postal_code": "922406874",
"country_code": "US",
"telephone_number": "760-393-3443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLASY",
"first_name": "DAVID",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-10",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "76793",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.