Organization Active NPI

Blair Rhodes MFT

  • Community/Behavioral Health Agency
  • Mount Shasta, CA
National Provider Identifier
1982989620
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44077 Issued in CA
Legal business name
BLAIR RHODES MFT
Practice address
618 N Mount Shasta Blvd
Mount Shasta, CA 96067-2235
Phone
(530) 925-4480
Fax
(530) 926-3450
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Mr. Geoffrey Blair Rhodes, LMFT
Title
Therapist
Phone
(530) 925-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 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

National Provider Directory

National Provider Directory

Locations

618 N Mount Shasta Blvd
Mount Shasta, CA 96067
Phone (530) 925-4480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1982989620",
    "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": {
        "organization_name": "BLAIR RHODES MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "530-925-4480",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "44077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 13, 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.