Individual provider Active NPI

Tamra Blanchard, LPC

  • Mental Health Counselor
  • Grants Pass, OR
National Provider Identifier
1003331091
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5721 Issued in OR
Practice address
1349 Golden Park Dr Apt B
Grants Pass, OR 97527-4879
Phone
(541) 761-3989
Fax
(541) 226-2356
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5721 OR Primary

Addresses

Primary practice location

1349 Golden Park Dr Apt B
Grants Pass, OR 97527-4879

Mailing address

1349 Golden Park Dr Apt B
Grants Pass, OR 97527-4879
Phone (541) 761-3989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260112003220 OR Practitioner - Mental Health Counselor 5294211926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

318 S Grape St
Medford, OR 97501-3147

PO Box
Medford, OR 97501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5721ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Counseling Services LLC Mental Health CurrentSince Oct 26, 2025 Accepting new patients
Options for Southern Oregon Past Accepting new patients
Options for Southern Oregon Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1003331091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 GOLDEN PARK DR APT B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975274879",
            "telephone_number": "541-761-3989",
            "fax_number": "541-226-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 GOLDEN PARK DR APT B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975274879",
            "telephone_number": "541-761-3989",
            "fax_number": "541-226-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "TAMRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.