JODI BLACKLEY L.M.F.T.
NPI 1124196555
Marriage & Family Therapist in Fullerton, CA

Q: What is Jodi Blackley's NPI number?

The NPI number for Jodi Blackley is 1124196555. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Jodi Blackley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Blackley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2006

2555 E CHAPMAN AVE STE 617, FULLERTON, CA 92831(714) 992-4656(714) 992-4673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jodi Blackley L.m.f.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI BLACKLEY L.M.F.T. (NPI 1124196555) is an individual marriage & family therapist in Fullerton, California, licensed in California (MFC41465) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1124196555

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJODI BLACKLEYCredential: L.M.F.T.

Location Address2555 E CHAPMAN AVE STE 617Fullerton, CA 92831-3621

Mailing Address733 E Chapman AveFullerton, CA 92831-3805 · (714) 992-4656 · Fax (714) 992-4673

Phone(714) 992-4656

Fax(714) 992-4673

Sole ProprietorYes

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124196555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC41465

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2555 E CHAPMAN AVE STE 617, Fullerton, CA 92831

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH BURTON KAISCH PH.D.

Psychologist

2555 E CHAPMAN AVE STE 617
FULLERTON, CA 92831

Orange County (714) 992-4656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Blackley's NPI number?

The NPI number for Jodi Blackley is 1124196555. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Jodi Blackley located?

Jodi Blackley practices at 2555 E Chapman Ave Ste 617, Fullerton, CA 92831. The listed phone number is (714) 992-4656.

What is Jodi Blackley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Jodi Blackley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.