Shiloh Blasdel
Individual provider Active NPI Professional Counselor · Hutchinson, KS
NPI 1053095158 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1053095158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 04216 (KS)
- Practice address
- 1529 E 30TH Ave
Hutchinson, KS 67502-1225 - Phone
- (620) 200-8538
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04216 | KS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 04216 | KS | Yes |
Addresses
Primary practice location
1529 E 30TH Ave
Hutchinson, KS 67502-1225
Mailing address
1529 E 30TH Ave
Hutchinson, KS 67502-1225
Phone (620) 200-8538
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- Daniel Bishop
- Nataliya Biskup
- Bradley Alan Blackburn
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- Jenessa Renea Blew
- Angela R Boice
- Clinton Boor
- James William Bothwell
- Samuel Bourn
All providers in Hutchinson, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 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.