Andrew Blizard, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008689 Issued in NY

Practice address

2018 5TH Ave Apt 7a
New York, NY 10035-1812

Phone

(845) 820-1078

NPI assigned

Nov 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1013551860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 5TH AVE APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 5TH AVE APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351812",
            "telephone_number": "845-820-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIZARD",
        "first_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "woodyprofessional@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2018 5th Ave Apt 7A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100351812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neal M. Blitz, DPM
• Andrea L Blitzer, M.D.
• Melinda Blitzer, PH.D.
• Victoria Marie Blitzer
• Howard M Bliwise, MD
• Boris N Bloch, MD
• Carole S Bloch, MA CCC SLP
• Claude Bloch, M.D.
• Danielle Bloch
• Jayne H Bloch

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.