Individual provider Active NPI

Ronald Dean Blanchard, LCAS, LCMHCA

  • Addiction (Substance Use Disorder) Counselor
  • New Bern, NC
National Provider Identifier
1073124095
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1206 Issued in NC
Practice address
1405A S Glenburnie Rd
New Bern, NC 28562-2603
Phone
(252) 638-7875
Fax
(252) 638-7586
NPI assigned
Aug 13, 2020
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1206 NC Primary
Mental Health Counselor 101YM0800X A15464 NC

Addresses

Primary practice location

1405A S Glenburnie Rd
New Bern, NC 28562-2603

Mailing address

114 Woodcroft CT
New Bern, NC 28562-9140
Phone (910) 382-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241107000226 NC Practitioner - Mental Health Counselor 0840724308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Olive Tree Family Counseling, PLLCGroup PAC ID 3274979612, 11 clinicians

Practice addresses (Care Compare)

1301 McCarthy Blvd
Suite B
New Bern, NC 28562-2033
Phone (252) 649-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A15464NCMDMental Health Counselor

Organizations & group practices 1

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1073124095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODCROFT CT",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285629140",
            "telephone_number": "910-382-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405A S GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622603",
            "telephone_number": "252-638-7875",
            "fax_number": "252-638-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "RONALD",
        "middle_name": "DEAN",
        "credential": "LCAS, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-09-29",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1206",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.