Geral Thomas Blanchard, LPC
Individual provider Active NPI Professional Counselor · Des Moines, IA
NPI 1003690595 · NPPES record last updated Aug 24, 2023
Key facts
- NPI
- 1003690595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 494 (WY)
- Practice address
- 17 SW 42ND St
Des Moines, IA 50312-3043 - Phone
- (515) 279-6900
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 494 | WY | Yes |
Addresses
Primary practice location
17 SW 42ND St
Des Moines, IA 50312-3043
Mailing address
17 SW 42ND St
Des Moines, IA 50312-3043
Phone (515) 279-6900
Other providers in Des Moines, IA
- Rebecca Ann Blair Manges
- Jaime Blair
- Jonathan David Blair
- Robert Blair
- Andrea Blake
- Joanna Blanchard
- Sylena Danielle Blanchard
- Barbara Lee Blando
- Blank Cancer & Blood Disorders Center
- David Emil Blankenship II
All providers in Des Moines, IA · Professional Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.