JESSICA ANN BLOOM-WELFORD - NPI 1689040123 - Marriage & Family Therapist in Fresno, CA

Q: What is Jessica Bloom-welford's NPI number?

The NPI number for Jessica Bloom-welford is 1689040123. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Jessica Bloom-welford's specialty?

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

Q: Is Jessica Bloom-welford enrolled in Medicare?

No. Jessica Bloom-welford has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

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About Jessica Ann Bloom-welford NPPES

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

JESSICA ANN BLOOM-WELFORD (NPI 1689040123) is an individual marriage & family therapist in Fresno, California, licensed in California (LMFT88172) and active in the NPI registry since August 2015. She has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1689040123

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA ANN BLOOM-WELFORD

Location Address5151 N PALM AVE STE 200Fresno, CA 93704-2221

Mailing Address5151 N Palm Ave Ste 200Fresno, CA 93704-2221 · (559) 768-6105

Phone(559) 768-6105

Sole ProprietorYes

Enumeration DateAugust 19, 2015

Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration

NPPES CertifiedNovember 11, 2022

✔ NPI 1689040123 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 · LMFT88172

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.

5151 N PALM AVE STE 200, Fresno, CA 93704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Ann Bloom-welford has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024

Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

ALEXANDRA MOY TORRES LMFT

Marriage & Family Therapist