BLAKE JORGENSEN LMFT
NPI 1942703293
Marriage & Family Therapist in San Rafael, CA

Q: What is Blake Jorgensen's NPI number?

The NPI number for Blake Jorgensen is 1942703293. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Q: What is Blake Jorgensen'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 Blake Jorgensen was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 13, 2018

1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903(415) 507-2000 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2020, May 16, 2018, Mar 13, 2018 (3 updates tracked since 2018).

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About Blake Jorgensen Lmft NPPES

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

BLAKE JORGENSEN LMFT (NPI 1942703293) is an individual marriage & family therapist in San Rafael, California, licensed in California (119308) and active in the NPI registry since March 2018. She maintains a secondary practice location in San Rafael.

NPPES Registry Identity

NPI1942703293

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameBLAKE JORGENSENCredential: LMFT

Location Address1 SAINT VINCENTS DRSan Rafael, CA 94903-1504

Mailing AddressPo Box 780Ross, CA 94957-0780 · (415) 870-3187

Phone(415) 507-2000

Sole ProprietorNo

Enumeration DateMarch 13, 2018

Last NPPES UpdateJune 15, 20203 updates tracked since enumeration

NPPES CertifiedJune 15, 2020

✔ NPI 1942703293 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 · 119308

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.

1 SAINT VINCENTS DR, San Rafael, CA 94903

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Secondary Practice Location 1

Location 11 Saint Vincents DrSan Rafael, CA 94903-1504 · Phone (415) 507-2000 ext. 4391

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.

MARTINA BAKEBURA BAKILANA

Marriage & Family Therapist