JEFF P BLANKS MFT
NPI 1144244278
Marriage & Family Therapist in Tustin, CA

Q: What is Jeff Blanks's NPI number?

The NPI number for Jeff Blanks is 1144244278. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Jeff Blanks'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 Jeff Blanks was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 26, 2006PECOS Enrolled

17542 IRVINE BLVD, SUITE F, TUSTIN, CA 92780(949) 525-3364 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeff P Blanks Mft NPPES

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

JEFF P BLANKS MFT (NPI 1144244278) is an individual marriage & family therapist in Tustin, California, licensed in California (MFC25338) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1144244278

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJEFF P BLANKSCredential: MFT

Location Address17542 IRVINE BLVD, SUITE FTustin, CA 92780-3155

Mailing Address14140 Beach Blvd, Suite 200Westminster, CA 92683-4453 · (714) 896-7574

Phone(949) 525-3364

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJuly 26, 2006

Last NPPES UpdateMay 8, 2024

✔ NPI 1144244278 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 · MFC25338

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.

17542 IRVINE BLVD, Tustin, CA 92780

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeff P Blanks Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810403102

PECOS Enrollment IDI20250723001360

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

JASON WILLIAM AUSTIN MFT

Marriage & Family Therapist

17542 IRVINE BLVD, #F
TUSTIN, CA 92780

Orange County (714) 508-1919

MR. BRUCE ROBERT FREDENBURG L.M.F.T.

Marriage & Family Therapist

17542 IRVINE BLVD, SUITE F
TUSTIN, CA 92780

Orange County (714) 508-1919

DR. PISHYA CHAMKASEM DDS

Dentist (General Practice)

17542 IRVINE BLVD, SUITE D
TUSTIN, CA 92780

Orange County (714) 573-1224

CHAMKASEM, DDS, INC.

Dentist (General Practice)

17542 IRVINE BLVD, SUITE D
TUSTIN, CA 92780

Orange County (714) 573-1224

DR. JAMES PATRICK TONER D.D.S.

Dentist (General Practice)

17542 IRVINE BLVD, SUITE C
TUSTIN, CA 92780

Orange County (714) 544-8000

DR. STEVEN R CHEW D.D.S.

Dentist

17542 IRVINE BLVD, STE E
TUSTIN, CA 92780

Orange County (714) 832-5890

DR. RODNEY IDA D.D.S.

Dentist (Endodontics)

17542 IRVINE BLVD, SUITE # A
TUSTIN, CA 92780

Orange County (714) 547-8494

MS. SUSAN ADELE WALTERS MFT

Marriage & Family Therapist

17542 IRVINE BLVD, SUITE F
TUSTIN, CA 92780

Orange County (949) 278-1114

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 Jeff Blanks's NPI number?

The NPI number for Jeff Blanks is 1144244278. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jeff Blanks located?

Jeff Blanks practices at 17542 Irvine Blvd Suite F, Tustin, CA 92780. The listed phone number is (949) 525-3364.

What is Jeff Blanks's specialty?

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

Is Jeff Blanks enrolled in Medicare?

Yes. Jeff Blanks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeff Blanks was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.