Active NPI
Kristina Hansen Blakely, LPC
- Professional Counselor
- Harrisonburg, VA
National Provider Identifier
1033879218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011108
- Practice address
- 64 West Water St
Harrisonburg, VA 22801 - Phone
- (540) 212-9490
- Fax
- (540) 434-0132
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701011108 | VA | Primary |
Addresses
Primary practice location
64 West Water St
Harrisonburg, VA 22801
Mailing address
134 Windy Knoll Drive
Rockingham, VA 22802
Phone (540) 421-9552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011108 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1033879218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 WINDY KNOLL DRIVE",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "22802",
"telephone_number": "540-421-9552",
"fax_number": "540-434-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 WEST WATER ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22801",
"telephone_number": "540-212-9490",
"fax_number": "540-434-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKELY",
"first_name": "KRISTINA",
"middle_name": "HANSEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2023-11-29",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.