Individual provider Active NPI

Christine Block, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1942486121
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42751 Issued in CA
Practice address
11720 El Camino Real Ste 250
San Diego, CA 92130-2243
Phone
(619) 252-9446
NPI assigned
Jan 17, 2008
Reactivated
Dec 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 MFC42751 CA Primary

Addresses

Primary practice location

11720 El Camino Real Ste 250
San Diego, CA 92130-2243

Mailing address

11720 El Camino Real Ste 250
San Diego, CA 92130-2243
Phone (619) 252-9446

Other identifiers 1

IdentifierTypeStateIssuer
1942486121MedicaidCA

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
MFC42751CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Block, LLC Marriage & Family Therapist CurrentSince Nov 10, 2024 Accepting new patients

Locations

11720 El Camino Real
Ste 250
San Diego, CA 92130
Phone (619) 252-9446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1942486121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 EL CAMINO REAL STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302243",
            "telephone_number": "619-252-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 EL CAMINO REAL STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302243",
            "telephone_number": "619-252-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "CHRISTINE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "deactivation_date": "2019-12-04",
        "reactivation_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942486121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.