Timothy Blankenbaker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4642 Issued in LA

Practice address

430 Dixie PLZ
Natchitoches, LA 71457-5881

Phone

(318) 357-9009

Fax

(318) 357-9008

NPI assigned

May 14, 2013

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Timothy Blankenbaker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rehabilitation Services of Central Louisiana, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Natchitoches, LA
  • NPI 1083162465
  NPD

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1053757351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHINABERRY DR STE 902",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112455",
            "telephone_number": "318-459-6795",
            "fax_number": "318-841-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 DIXIE PLZ",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575881",
            "telephone_number": "318-357-9009",
            "fax_number": "318-357-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "714493719",
            "country_code": "US",
            "telephone_number": "318-256-5200",
            "fax_number": "318-256-5202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENBAKER",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "BLANKENBAKER",
            "credential": "LPC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bio-Medical Applications of Louisiana, LLC (Natchitoches Dialysis Center)
• Bio-Medical Applications of Louisiana, LLC (Bma East Natchitoches)
• Tracy Jannik Bishop, APRN-CNP
• Delores Bivens
• Marvin Blake Jr.
• Yolanda Denise Bobb
• Warren C Botnick, M.D.
• Steven Thomas Boyd, PHARMD
• Bradbury Home Health, Inc. (Elara Caring)
• Pamela Bradley, M.S.

• Professional Counselor in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.