SUSAN BLODGETT LMFT - NPI 1295569887 - Marriage & Family Therapist in San Diego, CA

Q: What is Susan Blodgett's NPI number?

The NPI number for Susan Blodgett is 1295569887. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Susan Blodgett'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 Susan Blodgett was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Susan Blodgett Lmft NPPES

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

SUSAN BLODGETT LMFT (NPI 1295569887) is an individual marriage & family therapist in San Diego, California, licensed in California (148352) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295569887

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUSAN BLODGETTCredential: LMFT

Location Address16959 BERNARDO CENTER DR STE 110San Diego, CA 92128-2494

Mailing Address16959 Bernardo Center Dr Ste 110San Diego, CA 92128-2494 · (619) 281-6414 · Fax (619) 359-4326

Phone(619) 281-6414

Fax(619) 359-4326

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 27, 2024

Last NPPES UpdateJanuary 7, 2026

NPPES CertifiedJanuary 7, 2026

✔ NPI 1295569887 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 · 148352

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.

16959 BERNARDO CENTER DR STE 110, San Diego, CA 92128

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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 and accepts Medicare assignment

Susan Blodgett Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274058151

PECOS Enrollment IDI20250423002547

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 11

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

VALERIE LYNN BOURKE AMFT, APCC

Marriage & Family Therapist