Individual provider Active NPI

Eileen Blair

  • Professional Counselor
  • Plainfield, CT
National Provider Identifier
1043616394
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001124 Issued in CT
Practice address
50 Academy Hill Rd
Plainfield, CT 06374-1600
Phone
(860) 564-2323
NPI assigned
Nov 14, 2014
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001124 CT Primary

Addresses

Primary practice location

50 Academy Hill Rd
Plainfield, CT 06374-1600

Mailing address

50 Academy Hill Rd
Plainfield, CT 06374-1600
Phone (860) 564-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240130000064 CT Practitioner - Mental Health Counselor 0941653612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Connecticut School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Inlight Professional Counseling Services LLCGroup PAC ID 4385934058, 3 clinicians
Parham Counseling Services, LLCGroup PAC ID 9638657281, 4 clinicians

Practice addresses (Care Compare)

70 Cottage St
Danielson, CT 06239-3014
Phone 86077402158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001124CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inlight Professional Counseling Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Parham Counseling Services, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

70 Cottage St
Danielson, CT 06239
Phone (860) 774-0215

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1043616394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ACADEMY HILL RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741600",
            "telephone_number": "860-564-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ACADEMY HILL RD",
            "city": "PLAINFIELD",
            "state": "CT",
            "postal_code": "063741600",
            "telephone_number": "860-564-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, CT

Sources for this page

Verify at the official NPI Registry.