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MARLENE BRIGITTE BLANCO
NPI 1346677085
Marriage & Family Therapist in Los Angeles, CA

Active since September 26, 2013PECOS Enrolled
2121 W TEMPLE ST, LOS ANGELES, CA 90026(213) 385-5100 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marlene Brigitte Blanco NPPES

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

MARLENE BRIGITTE BLANCO (NPI 1346677085) is an individual marriage & family therapist in Los Angeles, California, licensed in California (73345) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346677085
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARLENE BRIGITTE BLANCO
Location Address2121 W TEMPLE STLos Angeles, CA 90026-4915
Mailing Address6042 Romaine St Apt 7Los Angeles, CA 90038-3040 · (213) 220-0194
Phone(213) 385-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 26, 2013
✔ NPI 1346677085 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 · 73345
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.
2121 W TEMPLE ST, Los Angeles, CA 90026
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene Brigitte Blanco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345727939
PECOS Enrollment IDI20260126001854
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.

Medicare Billing Reassignment

Medicare enrollment records show Marlene Blanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
310 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

RONALD FERNANDES
Counselor (Professional)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
SAMANTHA DIAZ
Social Worker (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
NANCY WATT LMFT
Marriage & Family Therapist
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
CRYSTAL VIANA GOMEZ GUERRA
Peer Specialist
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (323) 385-5100
MS. LAYLA ZOE SUMMERS
Student in an Organized Health Care Education/Training Program
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 260-7600
JESSICA DAWODU
Case Manager/Care Coordinator
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
SARAH BELARDE
Social Worker (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100
AMANDA MIGUEZ ASW
Social Worker (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Los Angeles County (213) 385-5100

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 Marlene Blanco's NPI number?

The NPI number for Marlene Blanco is 1346677085. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Marlene Blanco located?

Marlene Blanco practices at 2121 W Temple St, Los Angeles, CA 90026. The listed phone number is (213) 385-5100.

What is Marlene Blanco's specialty?

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

Is Marlene Blanco enrolled in Medicare?

Yes. Marlene Blanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marlene Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Blanco reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlene Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marlene Blanco was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.