Louis Samuel Blasetti Jr., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC6616 Issued in MD

Practice address

3400 Chestnut Ave FL 2
Baltimore, MD 21211-2516

Phone

(443) 732-5609

NPI assigned

Aug 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Louis Blasetti LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1609343441
  NPD (past) Authorized official

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1053668756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHESTNUT AVE FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112516",
            "telephone_number": "443-732-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHESTNUT AVE FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112516",
            "telephone_number": "443-732-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASETTI",
        "first_name": "LOUIS",
        "middle_name": "SAMUEL",
        "name_suffix": "Jr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Blank, NCC, LCPC, LCADC
• Sam Blankson-Hemans, MD
• Joel Nee-Lartley Blankson, M.D.
• Theresa Blankson
• Staci Blas, LCSW-C
• Inga Blashka
• Gonzalo Blasi, DDS MS
• Melina Alice Blasi, AUD
• Stacy Lynn Blasko, PH.D
• David M Blass, M.D.

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.